Healthcare Provider Details

I. General information

NPI: 1104810290
Provider Name (Legal Business Name): JAMES P HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 ELM ST
WORCESTER MA
01609-2541
US

IV. Provider business mailing address

48 ELM ST
WORCESTER MA
01609-2541
US

V. Phone/Fax

Practice location:
  • Phone: 508-757-0330
  • Fax: 508-752-9850
Mailing address:
  • Phone: 508-757-0330
  • Fax: 508-752-9850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number40974
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: