Individual
BETH BRIANNA HOGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 WEST RD STE 101, BALTIMORE, MD 21204-2308
(410) 823-3600
Mailing address
22 WEST RD STE 101, BALTIMORE, MD 21204-2308
(410) 823-3600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D54040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400674700
—
MD
Enumeration date
05/11/2006
Last updated
01/15/2016
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