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General NPI Number Information
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NPI Number | 1972865541
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Entity Type | Individual
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Provider Name | MARY KATHLEEN MCHUGH D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 72 W END AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-1824
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Country | US
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Telephone | 908-927-0300
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Fax | 908-707-4988
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Provider Business Mailing Address
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Address Line | 379 CAMPUS DR FL 4
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City | SOMERSET
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State | NJ
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Zip | 08873-1161
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Country | US
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Telephone | 732-937-8939
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Fax | 732-418-8372
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | OT014534
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 25MB10130800
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License Number State | NJ
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