Provider Demographics
NPI:1912273335
Name:VUGIA, DUC JACKSON (MD)
Entity Type:Individual
Prefix:
First Name:DUC
Middle Name:JACKSON
Last Name:VUGIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:850 MARINA BAY PKWY
Mailing Address - Street 2:BUILDING P, 2ND FLOOR
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-6403
Mailing Address - Country:US
Mailing Address - Phone:510-620-3430
Mailing Address - Fax:510-620-3425
Practice Address - Street 1:850 MARINA BAY PKWY
Practice Address - Street 2:BUILDING P, 2ND FLOOR
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-6403
Practice Address - Country:US
Practice Address - Phone:510-620-3430
Practice Address - Fax:510-620-3425
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG488902083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine