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NPI Code Detail

MEDICARE: CHRISTOPHER J PUGH D.O.

MEDICARE:   CHRISTOPHER J PUGH  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianOS014705PA
2207V00000XObstetrics & Gynecology Physician2062TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538376603
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER J PUGH D.O.
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 845 HELEN DR STE 200
Second Line :
City : LEBANON
State : PA
Zip : 17042-7493
Country : US
Telephone Number : 717-466-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 05/07/2026

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