Individual
JOSHUA HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 W COLD SPRING LN, BALTIMORE, MD 21210-2802
(443) 390-7200
Mailing address
3850 BOSTON ST APT 3072, BALTIMORE, MD 21224-5767
(585) 413-7485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349665
MD
363LF0000X
Family Nurse Practitioner
349665
NY
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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