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NPI Code Detail

MEDICARE: DR. CHRISTOPHER D HOGAN M.D.

MEDICARE: DR. CHRISTOPHER D HOGAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician1020356MA
2207W00000XOphthalmology Physician14349MS

General Provider Information

NPI Number : 1417950833
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER D HOGAN M.D.
Provider Business Mailing Address
First Line : 243 CHARLES ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-3002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 351 COWAN RD
Second Line :
City : GULFPORT
State : MS
Zip : 39507-2019
Country : US
Telephone Number : 228-896-1120
Fax Number : 228-896-1332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 11/06/2024

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