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Individual
SHANNON M. HOGAN
Active
Individual
SHANNON M. HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032.0131584
VT
208000000X
Pediatrics Physician
045744
CT
208000000X
Pediatrics Physician
2070
ME
208000000X
Pediatrics Physician
234618
MA
208M00000X
Hospitalist Physician
0102203586
VA
Other
Enumeration date
11/16/2007
Last updated
09/07/2023
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