Jesse Dogan, RN
Registered Nurse, Critical Care Medicine in Philadelphia, PA. Individual provider (NPI-1).
NPI number1275257537
StatusActive
Last updated in NPPESSep 30, 2022
Details
- NPI
- 1275257537
- Entity type
- Individual (NPI-1)
- Name
- Jesse Dogan
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2022
- Certification date
- Sep 30, 2022
- Last updated
- Sep 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | 624118 | PA | Yes |
Practice location
5501 Old York RdPhiladelphia, PA 19141-3018
Phone 215-456-8416
Mailing address
5 Windsor DrRoyersford, PA 19468-4315
Phone 215-668-9116
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