Shannon Hogan, MD

NPI #1922620442 in Malden, Massachusetts

Provider Information

NPI Number: 1922620442
Entity Type: Individual
Name: Shannon Hogan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 7, 2020
Last Updated: Dec 5, 2020

Practice Location

Address: 195 CANAL ST
City: Malden
State: Massachusetts
ZIP Code: 02148-6701
Phone: (781) 338-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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