Individual
JOHN PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
391 MYRTLE AVENUE, ALBANY, NY 12208-3478
(518) 262-3478
(518) 262-9985
Mailing address
391 MYRTLE AVENUE, ALBANY, NY 12208-3478
(518) 262-1700
(518) 262-9985
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
264898
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2007
Last updated
08/02/2019
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