Healthcare Provider Details

I. General information

NPI: 1174687289
Provider Name (Legal Business Name): JAMES P HUGHES MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 LINCOLN ST
WORCESTER MA
01605-3643
US

IV. Provider business mailing address

291 LINCOLN ST
WORCESTER MA
01605-3643
US

V. Phone/Fax

Practice location:
  • Phone: 508-752-3439
  • Fax: 508-799-6048
Mailing address:
  • Phone: 508-752-3439
  • Fax: 508-799-6048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES P HUGHES
Title or Position: PRESIDENT
Credential: MD
Phone: 508-752-3439