Provider Demographics
NPI:1962604157
Name:HOAG, BRANDI LEE (DO)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:LEE
Last Name:HOAG
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Gender:F
Credentials:DO
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Mailing Address - Street 1:108 GROVE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2651
Mailing Address - Country:US
Mailing Address - Phone:508-453-1005
Mailing Address - Fax:508-749-0293
Practice Address - Street 1:108 GROVE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2651
Practice Address - Country:US
Practice Address - Phone:508-453-1005
Practice Address - Fax:508-749-0293
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2015-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA231514207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine