Provider Demographics
NPI:1386971562
Name:DR. MCHUGH AND ASSOCIATES, P.C.
Entity type:Organization
Organization Name:DR. MCHUGH AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OFFICE OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SPRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-274-1773
Mailing Address - Street 1:777 ECHO LAKE RD UNIT F
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-6618
Mailing Address - Country:US
Mailing Address - Phone:860-274-1773
Mailing Address - Fax:860-945-6820
Practice Address - Street 1:333 KENNEDY DR
Practice Address - Street 2:SUITE L-103
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3060
Practice Address - Country:US
Practice Address - Phone:860-489-1900
Practice Address - Fax:860-482-5804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004151312Medicaid
4365880002Medicare NSC