Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 14023 | NH |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 231002 | MA |
NPI | 1316028970 |
---|---|
Provider Name | Dr. Kathleen Anne Hogan |
First Address | Nashua, NH 03062-1304 |
Second Address | Nashua, NH 03062-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 27/09/2012 |