Individual
DENNIS EYO HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6031
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11280500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0850047
—
NJ
Enumeration date
04/06/2018
Last updated
10/09/2024
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