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Individual

CHARLES C HOGGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8140 ASHTON AVE, SUITE 120, MANASSAS, VA 20109-5698
(703) 361-3128
(703) 361-3670
Mailing address
8140 ASHTON AVENUE, SUITE 120, MANASSAS, VA 20109
(703) 361-3128
(703) 361-3670

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101043523
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006330380
VA
01
180037844
RAIL ROAD MEDICARE PIN
VA
Enumeration date
02/03/2006
Last updated
05/16/2011
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