Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101257425 | VA |
Y | 2080P0210X | Pediatric Nephrologist | 66385 | CT |
NPI | 1144660549 |
---|---|
Provider Name | Dr. James Thomas Nugent |
First Address | New Haven, CT 06510-3220 |
Second Address | New Haven, CT 06510-3220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2013 |
Last Update Date | 20/08/2020 |