Individual
GRANT DOUGLAS HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD24224
ME
207X00000X
Orthopaedic Surgery Physician
P7281
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
282195
MA
207XP3100X
Pediatric Orthopaedic Surgery Physician
P7281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346981901
—
TX
Enumeration date
07/15/2009
Last updated
02/05/2021
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