Provider Demographics
NPI:1932148756
Name:HUGHES, EUGENE PATRICK JR (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:PATRICK
Last Name:HUGHES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8815 GERMANTOWN AVE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118
Mailing Address - Country:US
Mailing Address - Phone:215-242-4700
Mailing Address - Fax:215-242-2618
Practice Address - Street 1:8815 GERMANTOWN AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118
Practice Address - Country:US
Practice Address - Phone:215-242-4700
Practice Address - Fax:215-242-2618
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD019016E208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000793572 0005Medicaid
PA000793572 0005Medicaid
066218Medicare ID - Type Unspecified