Individual
NEIL PUGACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL PKWY, SUITE 212, CHESAPEAKE, VA 23320-4985
(757) 547-0508
(757) 547-8963
Mailing address
300 MEDICAL PKWY, SUITE 212, CHESAPEAKE, VA 23320-4985
(757) 547-0508
(757) 547-8963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101052787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600631
—
VA
Enumeration date
08/09/2005
Last updated
09/18/2007
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