Provider Demographics
NPI:1033195599
Name:HUGHES, JOHN D (HS1)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:D
Last Name:HUGHES
Suffix:
Gender:M
Credentials:HS1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-5013
Mailing Address - Country:US
Mailing Address - Phone:401-640-0130
Mailing Address - Fax:
Practice Address - Street 1:U.S. COAST GUARD KAEHLER MEMORIAL MEDICAL CLINIC
Practice Address - Street 2:LEE RD. BLDG 5201
Practice Address - City:BOURNE
Practice Address - State:MA
Practice Address - Zip Code:02542
Practice Address - Country:US
Practice Address - Phone:508-968-6572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other