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Individual

DR. HOWARD FUGATE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 988-0000
(717) 782-5716
Mailing address
PO BOX 348, DU BOIS, PA 15801-0348
(814) 371-4443

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD031608E
PA
207R00000X
Internal Medicine Physician
Primary
MD031608E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000159414
HIGHMARK BCBS
PA
05
001048798
PA
01
144134
UNISON
PA
01
1514317
GATEWAY
PA
01
37121
GEISINGER
PA
01
50010087
CAPITOL BC
PA
Enumeration date
07/07/2006
Last updated
01/30/2024
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