Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 032767 | CT |
NPI | 1013911585 |
---|---|
Provider Name | Richard A Hughes |
First Address | Augusta, GA 30907-2464 |
Second Address | Norwalk, CT 06850-3852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2005 |
Last Update Date | 08/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F55764 | (02) |