Provider Demographics
NPI:1598769234
Name:DR. MCHUGH AND ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DR. MCHUGH AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OFFICE OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-274-1773
Mailing Address - Street 1:777 ECHO LAKE RD UNIT F
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-6618
Mailing Address - Country:US
Mailing Address - Phone:860-274-1773
Mailing Address - Fax:860-945-6820
Practice Address - Street 1:777 ECHO LAKE RD UNIT F
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-6618
Practice Address - Country:US
Practice Address - Phone:860-274-1773
Practice Address - Fax:860-945-6820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004151312Medicaid
CT004230984OtherCT MEDICAL ASSISTANCE