Individual
SUSAN RAE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PATHOLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, PATHOLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
G78321
CA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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