Individual
DR. JEREMY MICHAEL HUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 STONY BROOK RD, STONY BROOK, NY 11790-2206
(631) 444-4200
(631) 638-4220
Mailing address
1320 STONY BROOK RD, STONY BROOK, NY 11790-2206
(631) 444-4200
(631) 638-4220
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
17511
NH
207N00000X
Dermatology Physician
Primary
314161
NY
207N00000X
Dermatology Physician
DR.00588444
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029226
KAISER COMMERCIAL NUMBER
CO
05
—
9000148091
—
CO
Enumeration date
04/28/2012
Last updated
07/05/2022
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