Provider Demographics
NPI:1326265281
Name:LAVERY, HUGH JOSEPH III (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:JOSEPH
Last Name:LAVERY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:29 HOSPITAL PLZ STE 604
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3602
Mailing Address - Country:US
Mailing Address - Phone:203-276-8545
Mailing Address - Fax:203-276-8572
Practice Address - Street 1:29 HOSPITAL PLZ STE 604
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3602
Practice Address - Country:US
Practice Address - Phone:203-276-8545
Practice Address - Fax:203-276-8572
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-05-25
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Provider Licenses
StateLicense IDTaxonomies
OH88929208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology