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Individual

DONNA M ROGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3444 KOSSUTH AVE, 2ND FL., BRONX, NY 10467-2410
(718) 920-5871
(718) 652-5707
Mailing address
3444 KOSSUTH AVE, 2ND FL., BRONX, NY 10467-2410
(718) 920-5871
(718) 652-5707

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
157446
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01726681
NY
Enumeration date
12/28/2006
Last updated
10/13/2011
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