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NPI Code Detail

MEDICARE: CHARLES DUGAN

MEDICARE: CHARLES DUGAN
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
1174400000XSpecialistMD044355EPA

General Provider Information

NPI Number : 1861465858
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES DUGAN
Provider Business Mailing Address
First Line : 101 ORCHARD DR
Second Line : UNIVERSITY CENTER @ LEVEL GREEN
City : TRAFFORD
State : PA
Zip : 15085-1640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 ORCHARD DR
Second Line : UNIVERSITY CENTER @ LEVEL GREEN
City : TRAFFORD
State : PA
Zip : 15085-1640
Country : US
Telephone Number : 412-856-7332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 04/06/2021

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Directions to “ CHARLES DUGAN ” Practice Location

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