Individual
DR. VAUGHN HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2875 BROADWAY, NEW YORK, NY 10025-7846
(212) 523-1100
Mailing address
2875 BROADWAY, NEW YORK, NY 10025-7846
(212) 523-1100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
329840
NY
207N00000X
Dermatology Physician
A162470
CA
Other
Enumeration date
06/08/2017
Last updated
05/23/2024
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