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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESUS OCTAVIO AMADOR, IDMT

Active

JESUS OCTAVIO AMADOR, IDMT is a Independent Duty Medical Technician healthcare provider located in MOUNT LAUREL, New Jersey. NPI 1457581704 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · MOUNT LAUREL, NJ

Registration Details

NPI Number
1457581704
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2009 (17.025289749297 yrs)
Last Updated
Jul 21, 2009

Practice Information

Address
2305 SAXONY DR
MOUNT LAUREL, NJ, 080546806
Browse NJ providers · Browse ZIP 08054
Phone
3108569968
Primary Specialty
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.