MEDICARE: JOSEPH M. HOGAN, M.D., ASSOCIATES

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
1	207RR0500X	Rheumatology Physician	MD005859E	PA

General Provider Information

NPI Number	:	1821207531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH M. HOGAN, M.D., ASSOCIATES

Provider Business Mailing Address
First Line	:	1726 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2300
Country	:	US
Telephone Number	:	215-334-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1726 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2300
Country	:	US
Telephone Number	:	215-334-0700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH M. HOGAN
Credential	:	M.D.
Telephone Number	:	215-334-0700

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

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