Provider Demographics
NPI:1144291220
Name:FUGARO, STEVEN HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HUGH
Last Name:FUGARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2001 UNION ST STE 570
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4127
Mailing Address - Country:US
Mailing Address - Phone:415-694-7500
Mailing Address - Fax:415-694-7503
Practice Address - Street 1:2001 UNION ST STE 570
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4127
Practice Address - Country:US
Practice Address - Phone:415-694-7500
Practice Address - Fax:415-694-7503
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG48694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG48694OtherCA MEDICAL LICENSE
CAG48694OtherCA MEDICAL LICENSE