Individual
KELLY ROSE MCHUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 378-2782
Mailing address
500 N 21ST ST, PHILADELPHIA, PA 19130-4267
(215) 378-2782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-00641
NC
207P00000X
Emergency Medicine Physician
MT217943
PA
Other
Enumeration date
06/13/2019
Last updated
11/17/2022
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