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Individual

CHRISTOPHER HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1350 S ELISEO DR, SUITE 130, GREENBRAE, CA 94904-2011
(415) 925-6900
Mailing address
200 TAMAL PLAZA, SUITE 200, CORTE MADERA, CA 94925
(415) 925-6900
(415) 925-6919

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A125379
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730125758
MEDICARE GROUP NPI
CA
01
CA23905
MEDICARE PTAN
CA
Enumeration date
03/24/2010
Last updated
05/03/2021
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