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Individual

MRS. KAMINI B HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
51 NORTH 39TH STREET, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Mailing address
3624 MARKET STREET, SUITE 560W, PHILADELPHIA, PA 19104-2617
(215) 662-3958

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053198
PA

Other

Enumeration date
02/06/2008
Last updated
12/21/2015
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