Individual
JUDE ARNOLD MUGERWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TECH PARK DR, JOHNSTOWN, PA 15901-2515
(814) 534-3850
(814) 534-3392
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD425561
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001702066
PA BLUE SHIELD
PA
01
—
P00228451
PALMETTO GBA
PA
Enumeration date
06/14/2006
Last updated
08/10/2012
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