Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC005650 | PA |
Y | 222Z00000X | Podiatrist | SC005650 | PA |
NPI | 1073555835 |
---|---|
Provider Name | Dr. Craig T Mchugh |
First Address | Exton, PA 19341-2656 |
Second Address | Exton, PA 19341-2656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 24/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1014877810001 | (05) | PA |
U93534 | (02) |