Provider Demographics
NPI:1154336857
Name:MELVILLE H HUGHES MD PC
Entity type:Organization
Organization Name:MELVILLE H HUGHES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELVILLE
Authorized Official - Middle Name:HOWARD ADDISON
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-471-4095
Mailing Address - Street 1:1 BUSHWICK RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-3839
Mailing Address - Country:US
Mailing Address - Phone:845-471-5095
Mailing Address - Fax:845-471-5096
Practice Address - Street 1:1 BUSHWICK RD
Practice Address - Street 2:SUITE D
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-3839
Practice Address - Country:US
Practice Address - Phone:845-471-5095
Practice Address - Fax:845-471-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WEZ041Medicare PIN