Individual
JEREMY P HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 S MAIN ST STE H, WOLFEBORO, NH 03894-4411
(603) 569-7690
(603) 569-7664
Mailing address
240 S MAIN ST STE H, WOLFEBORO, NH 03894-4411
(603) 569-7690
(603) 569-7664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14840
NH
207X00000X
Orthopaedic Surgery Physician
ME103929
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
4301083570
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000886300
—
FL
01
—
30366
BCBS
FL
01
—
4131100
CIGNA
FL
01
—
9070299
AENTA
FL
Enumeration date
05/23/2007
Last updated
04/21/2021
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