Healthcare Provider Details

I. General information

NPI: 1386742336
Provider Name (Legal Business Name): CHRISTOPHER HUG MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

197 RESERVOIR RD
CHESTNUT HILL MA
02467-1426
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-1900
  • Fax: 617-730-0084
Mailing address:
  • Phone: 617-232-4361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number217528
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: