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Individual
AMY ELIZABETH HOGAN-MOULTON
Active
Individual
AMY ELIZABETH HOGAN-MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
210381
NY
207RN0300X
Nephrology Physician
Primary
210381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824359
—
NY
01
—
390006064
RR MEDICARE
NY
Enumeration date
10/12/2005
Last updated
06/05/2012
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