Individual
SEAN MOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 RIDGE RD, WEBSTER, NY 14580-2907
(585) 872-1300
(585) 872-5397
Mailing address
1015 RIDGE RD, WEBSTER, NY 14580-2907
(585) 872-1300
(585) 872-5397
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
235037-1
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
235037-1
NY
Other
Enumeration date
02/28/2006
Last updated
10/04/2018
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