Provider Demographics
NPI:1912082660
Name:MCHUGH, WILLIAM J (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:240 WILLIAMSON ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202
Mailing Address - Country:US
Mailing Address - Phone:908-355-8877
Mailing Address - Fax:908-355-0017
Practice Address - Street 1:240 WILLIAMSON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202
Practice Address - Country:US
Practice Address - Phone:908-355-8877
Practice Address - Fax:908-355-0017
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2013-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02430800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ900506Medicaid
NJHC459564Medicare ID - Type Unspecified
NJ900506Medicaid