MEDICARE: JANET L MCHUGH PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA00461300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40QA00461300	OTHER	NJ	NJ PT LICENSE

General Provider Information

NPI Number	:	1316960891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET L MCHUGH PT

Provider Business Mailing Address
First Line	:	249 S MAIN ST
Second Line	:	SUITE 1
City	:	BARNEGAT
State	:	NJ
Zip	:	08005-2301
Country	:	US
Telephone Number	:	609-607-0555
Fax Number	:	609-607-0178

Provider Business Practice Location Address
First Line	:	249 S MAIN ST
Second Line	:	SUITE 1
City	:	BARNEGAT
State	:	NJ
Zip	:	08005-2301
Country	:	US
Telephone Number	:	609-607-0555
Fax Number	:	609-607-0178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/08/2007

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