Provider Demographics
NPI:1659182970
Name:DUGAN, KATHERINE
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:DUGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PLUM ST FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2066
Mailing Address - Country:US
Mailing Address - Phone:732-253-3699
Mailing Address - Fax:732-253-3468
Practice Address - Street 1:10 PLUM ST FL 7
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2066
Practice Address - Country:US
Practice Address - Phone:732-253-3699
Practice Address - Fax:732-253-3468
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04262300183500000X, 1835S0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835S0206XPharmacy Service ProvidersPharmacistSolid Organ Transplant
No183500000XPharmacy Service ProvidersPharmacist