Individual
MR. MICHAEL PATRICK HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
612 TENNEY MOUNTAIN HWY, UNIT 3 TENNEY MTN PLAZA, PLYMOUTH, NH 03264-3155
(603) 536-7777
(603) 536-7787
Mailing address
612 TENNEY MOUNTAIN HWY, UNIT 3 TENNEY MTN PLAZA, PLYMOUTH, NH 03264-3155
(603) 536-7777
(603) 536-7787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3075
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y008932NH01
ANTHEM BCBS
NH
05
—
30394799
—
NH
Enumeration date
05/15/2006
Last updated
03/21/2008
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