Provider Demographics
NPI:1477824167
Name:PUGSLEY, CHRISTIAN J (RDCS, RVT)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:J
Last Name:PUGSLEY
Suffix:
Gender:M
Credentials:RDCS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6908 BONNIE RIDGE DR APT 101
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-5150
Mailing Address - Country:US
Mailing Address - Phone:410-814-1676
Mailing Address - Fax:
Practice Address - Street 1:6908 BONNIE RIDGE DR APT 101
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-5150
Practice Address - Country:US
Practice Address - Phone:410-814-1676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography