Provider Demographics
NPI:1780463208
Name:HUGHES, JOSHUA (PA-S)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-3009
Mailing Address - Country:US
Mailing Address - Phone:603-400-8339
Mailing Address - Fax:
Practice Address - Street 1:360 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-3009
Practice Address - Country:US
Practice Address - Phone:603-400-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program