Individual
MARY JANE S HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
333 CEDAR ST, LMP 2073, NEW HAVEN, CT 06510-3206
(203) 785-4640
(203) 737-2228
Mailing address
333 CEDAR ST, LMP 2073, NEW HAVEN, CT 06510-3206
(203) 785-4640
(203) 737-2228
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
037422
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001374222
—
CT
Enumeration date
11/08/2006
Last updated
03/20/2013
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