Provider Demographics
NPI:1790779437
Name:ANDREINI, HUGO J (MD)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:J
Last Name:ANDREINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN DALE
Mailing Address - State:WV
Mailing Address - Zip Code:26038-1660
Mailing Address - Country:US
Mailing Address - Phone:304-845-3211
Mailing Address - Fax:
Practice Address - Street 1:1800 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-1949
Practice Address - Country:US
Practice Address - Phone:740-537-5081
Practice Address - Fax:740-537-5089
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV14036174400000X
PAMD034699E174400000X
NJ25MA04456100174400000X
OH35057824174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0707060Medicaid
WV0130000000Medicaid
WV0130000000Medicaid
WVHU0615173Medicare PIN
WVB42735Medicare UPIN