Provider Demographics
NPI:1538468772
Name:HUGHART, ROSEMARA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARA
Middle Name:
Last Name:HUGHART
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 1:6 MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3112
Mailing Address - Country:US
Mailing Address - Phone:508-827-6930
Mailing Address - Fax:508-827-6931
Practice Address - Street 1:6 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-827-6930
Practice Address - Fax:508-827-6931
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA265908207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology