# SHANNON M. HOGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265613426
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 032.0131584 | VT | Yes |
| 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