Provider Demographics
NPI:1114973872
Name:MCHUGH, DEBORAH KAREN
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAREN
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:GIARDINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:603 SALEM STREET SUITE 3
Mailing Address - Street 2:KJC MEDIWEIGHTLOSS, LLC
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880
Mailing Address - Country:US
Mailing Address - Phone:781-245-6334
Mailing Address - Fax:781-245-6332
Practice Address - Street 1:603 SALEM STREET SUITE 3
Practice Address - Street 2:KJC MEDI WEIGHTLOSS, LLC
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880
Practice Address - Country:US
Practice Address - Phone:781-245-6334
Practice Address - Fax:781-245-6332
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA214277363L00000X
MARN214277363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner