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Individual

DR. CHARLES S HOAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 FOREST AVE, PORTLAND, ME 04103-1889
(207) 878-5051
(207) 797-2166
Mailing address
1250 FOREST AVE, PORTLAND, ME 04103-1889
(207) 878-5051
(207) 797-2166

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
993
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
291190099
ME
Enumeration date
01/23/2006
Last updated
12/11/2009
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