MEDICARE: DR. MCHUGH AND ASSOCIATES, P.C.

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
1	213E00000X	Podiatrist	00393	CT

Other Identifiers

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

General Provider Information

NPI Number	:	1942204797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MCHUGH AND ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	777 ECHO LAKE RD UNIT F
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-6618
Country	:	US
Telephone Number	:	860-274-1773
Fax Number	:	860-945-6820

Provider Business Practice Location Address
First Line	:	777 ECHO LAKE RD UNIT F
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-6618
Country	:	US
Telephone Number	:	860-274-1773
Fax Number	:	860-945-6820

Authorized Official
Title or Position	:	DIRECTOR OFFICE OPERATIONS
Name	:	MRS. KELLY J SPRING
Credential	:
Telephone Number	:	860-274-1773

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	09/12/2018

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