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Individual

DR. LINDA LEE HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1508 WILLOWBROOK MALL, WAYNE, NJ 07470
(973) 890-0861
(973) 890-0956
Mailing address
1508 WILLOWBROOK MALL, WAYNE, NJ 07470
(973) 890-0861
(973) 890-0956

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00593200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0042943
NJ
Enumeration date
08/14/2006
Last updated
10/29/2014
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