MEDICARE: DR. HUGO JAMES PFAEFFLE MD,PHD

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	174400000X	Specialist	MD425835	PA
2	207XS0106X	Orthopaedic Hand Surgery Physician	MD 425835	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609841139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUGO JAMES PFAEFFLE MD,PHD

Provider Business Mailing Address
First Line	:	7500 BROOKTREE RD STE 302
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9285
Country	:	US
Telephone Number	:	412-367-0600
Fax Number	:	412-367-7079

Provider Business Practice Location Address
First Line	:	6998 CRIDER RD
Second Line	:	SUITE 110
City	:	MARS
State	:	PA
Zip	:	16046-2306
Country	:	US
Telephone Number	:	727-779-7000
Fax Number	:	412-367-7079

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

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	02/27/2023

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