Basic Information
| Provider Information | |||||||||
| NPI: | 1083723373 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCHUGH | ||||||||
| FirstName: | CAROLYN | ||||||||
| MiddleName: | G | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3905 | ||||||||
| Address2: | DEPT. 4204 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981243905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3605149060 | ||||||||
| FaxNumber: | 3605149041 | ||||||||
| Practice Location | |||||||||
| Address1: | 1035 116TH AVE NE | ||||||||
| Address2: | HOSPITALIST DEPT | ||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980044604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256885072 | ||||||||
| FaxNumber: | 4254673310 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 08/02/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ML20008000 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.