Hogan, Mary Jane S
Hogan, Mary Jane S is an individual health care provider with primary practice located at 333 Cedar St Lmp 2073, New Haven CT 06510-3206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Hogan, Mary Jane S can be contacted via phone (203) 785-4640.Contact Information
Primary practice address
333 Cedar St Lmp 2073
New Haven CT 06510-3206
Phone: (203) 785-4640
Fax: (203) 737-2228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 037422 | Connecticut |
Profile Details
| NPI number | 1962572172 |
|---|---|
| LBN Legal business name | Hogan, Mary Jane S |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 20th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962572172 | NPPES |
| Connecticut | MEDICAID | 001374222 |
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