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Individual

NICHOLAS DUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15195 HEATHCOTE BLVD STE 330, HAYMARKET, VA 20169
(571) 284-3110
(571) 284-3119
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101267191
VA
208600000X
Surgery Physician
2018-00276
NC
208600000X
Surgery Physician
Primary
69317
CT

Other

Enumeration date
05/23/2013
Last updated
09/08/2021
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