Individual
DR. JOSEPH FRANCIS HAGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 LAKESIDE AVE, SUITE 115, BURLINGTON, VT 05401-4939
(802) 860-1928
Mailing address
128 LAKESIDE AVE, SUITE 115, BURLINGTON, VT 05401-4939
(802) 860-1928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420006081
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004398
—
VT
Enumeration date
06/07/2006
Last updated
10/04/2013
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