Provider Demographics
NPI:1558689620
Name:HOGUET, AMBIKA SUD (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBIKA
Middle Name:SUD
Last Name:HOGUET
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:50 STANIFORD ST STE 600
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2587
Mailing Address - Country:US
Mailing Address - Phone:617-367-4800
Mailing Address - Fax:617-723-7028
Practice Address - Street 1:52 2ND AVE STE 2500
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451
Practice Address - Country:US
Practice Address - Phone:781-487-2200
Practice Address - Fax:781-487-5717
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA258820207W00000X
FLME115212207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology