Michael Hogan, PT, DPT | |
50 Mount Prospect Ave Ste 207, Clifton, NJ 07013-1900 | |
(201) 464-4749 | |
Not Available |
Full Name | Michael Hogan |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 50 Mount Prospect Ave Ste 207, Clifton, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568077303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01960800 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jag-one Physical Therapy Llc | 2769584325 | 223 |
Provider Name | Jag-one Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
Mailing Address | Practice Location Address |
---|---|
Michael Hogan, PT, DPT 900 Route 9 N Ste 410, Woodbridge, NJ 07095-1003 Ph: (201) 801-7141 | Michael Hogan, PT, DPT 50 Mount Prospect Ave Ste 207, Clifton, NJ 07013-1900 Ph: (201) 464-4749 |
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