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Jonathan Mogen, MD
Neuroradiology Physician in Hartford, Connecticut
NPI 1932496619

Jonathan Mogen is a Neuroradiology Physician based in Boston, CT and is specialized in Neuroradiology. Jonathan Mogen practices in Hartford, CT and has the professional credentials of MD. The NPI Number for Jonathan Mogen is 1932496619 and holds a License No. 052280 (Connecticut).

The current practice location address for Jonathan Mogen is 80 Seymour St, Hartford, CT and can be reached out via phone at 860-972-2864. You can also correspond with Jonathan Mogen through the mailing address at 800 WASHINGTON ST, BOSTON, MA - 02111-1552 (mailing address contact number: 617-636-5000).

Location: 80 Seymour St, Hartford, CT, 02111-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932496619
Provider Name
Jonathan Mogen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
80 Seymour St, Hartford, CT, 02111-1552
Phone Number
860-972-2864
Fax Number
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
80 Seymour St
City
Hartford
State
Connecticut
Zip
06102-8000
Phone Number
860-972-2864
Fax Number
person
Provider Business Mailing Address Details
Address
80 Seymour St
City
Hartford
State
Connecticut
Zip
06102-8000
Phone Number
860-972-2864
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
269163 (Massachusetts)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
052280 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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