Individual
DR. MICHAEL J HODGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3981
(607) 547-6855
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3981
(607) 547-6855
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
164713
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
164713
NY
207R00000X
Internal Medicine Physician
164713
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
164713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01185437
—
NY
Enumeration date
05/11/2006
Last updated
04/26/2017
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