Provider Demographics
NPI:1154779056
Name:VILLANUEVA, HUGO J (MD)
Entity type:Individual
Prefix:DR
First Name:HUGO
Middle Name:J
Last Name:VILLANUEVA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-4305
Practice Address - Country:US
Practice Address - Phone:570-271-6361
Practice Address - Fax:570-271-5785
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2022-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT210898208600000X
PAMD478158208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery