Provider Demographics
NPI:1467581553
Name:HUGHMANICK, SUSAN FRANCES (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:FRANCES
Last Name:HUGHMANICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3275 APTOS RANCHO RD.
Mailing Address - Street 2:STE. E
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003
Mailing Address - Country:US
Mailing Address - Phone:831-688-8266
Mailing Address - Fax:831-688-0811
Practice Address - Street 1:3275 APTOS RANCHO RD
Practice Address - Street 2:STE. E
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3983
Practice Address - Country:US
Practice Address - Phone:831-688-8266
Practice Address - Fax:831-688-0811
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG068611207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology