Individual
ANGELA D. HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-8255
(757) 668-9444
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101051640
VA
208000000X
Pediatrics Physician
0101051640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006704760
—
VA
05
—
89063JA
—
NC
Enumeration date
05/17/2006
Last updated
12/14/2012
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