Healthcare Provider Details

I. General information

NPI: 1386971562
Provider Name (Legal Business Name): DR. MCHUGH AND ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 KENNEDY DR SUITE L-103
TORRINGTON CT
06790-3060
US

IV. Provider business mailing address

777 ECHO LAKE RD UNIT F
WATERTOWN CT
06795-6618
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-1900
  • Fax: 860-482-5804
Mailing address:
  • Phone: 860-274-1773
  • Fax: 860-945-6820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY JEAN SPRING
Title or Position: DIRECTOR OFFICE OPERATIONS
Credential:
Phone: 860-274-1773