Provider Demographics
NPI:1215939061
Name:HOGUE, DONNA J (DO)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:HOGUE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:900 CENTENNIAL BLVD
Mailing Address - Street 2:SUITE K
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4637
Mailing Address - Country:US
Mailing Address - Phone:856-325-6789
Mailing Address - Fax:856-325-6545
Practice Address - Street 1:900 CENTENNIAL BLVD
Practice Address - Street 2:SUITE K
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4637
Practice Address - Country:US
Practice Address - Phone:856-325-6789
Practice Address - Fax:856-325-6545
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA05007730-L207RP1001X
NJ25MA07764500207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3K6158OtherHEALTHNET, INC
NJ1255763OtherAETNA
NJ016496Medicaid
NJ001007585OtherAMERICHOICE
NJ2308332000OtherAMERIHEALTH/KEYSTONE/IBC
NJ7311605Medicaid
NJP3601408OtherOXFORD
NJ1632777OtherAMERIHEALTH PPO
NJ1822711OtherUNITED HEALTHCARE
NJ3703636OtherCIGNA
NJ42422OtherUNIVERSITY HEALTH PLAN
NJ3K6158OtherHEALTHNET, INC
NJ1822711OtherUNITED HEALTHCARE
NJ1255763OtherAETNA