Provider Demographics
NPI:1982608667
Name:MCHUGH, JOHN M (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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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 1:777 ECHO LAKE RD UNIT F
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-6618
Practice Address - Country:US
Practice Address - Phone:860-274-1773
Practice Address - Fax:860-945-6820
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CTP00393213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
29507OtherWELL CARE
66000393OtherCIGNA HEALTH PLANS
480003783OtherRAILROAD MEDICARE
CT00406542100OtherBLUECARE FAMILY PLAN CT
CT030000393CT01OtherBLUECROSS AND SHEILD CT
NHS222OtherOXFORD HEALTH PLANS
OR3519OtherHEALTHNET INC
CT004065421Medicaid
270412OtherUNITED HEALTH CARE
50145OtherAETNA HEALTH PLANS
039311OtherCONNECTICARE
29507OtherWELL CARE
480000656Medicare ID - Type Unspecified