| Doctor Name: | JEREMY P HOGAN |
| NPI Number: | 1205046992 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301083570 |
| Business Practice Address: | 14 Maple St Ste 100 Gilford, NH - 032496580 |
| Business Phone Number: | 6035289100 |
| Business Fax Number: | 6035245743 |
| Mailing Address: | 14 Maple St, Ste 100 GILFORD |
| State: | NH |
| Postal Code: | 032496580 |
| Phone Number: | 6035289100 |
| Fax Number: | 6035245743 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XP3100X |
| License Number: | 4301083570 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Pediatric Orthopaedic Surgery |
| Taxonomy Definition: | An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |