Individual
RYAN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
11 SUSAN CIR, PORTLAND, CT 06480-1932
(860) 227-2781
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6844
CT
Other
Enumeration date
09/27/2016
Last updated
12/06/2016
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