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Individual
DR. TARA ROSE HOGAN
Active
Individual
DR. TARA ROSE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
280377
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
280377
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280377
MASSACHUSETTS STATE MEDICAL LICENSE
MA
Enumeration date
06/17/2019
Last updated
06/23/2019
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