Provider Demographics
NPI:1528060365
Name:HUGHES, SUSAN M (MD FACS)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD FACS
Other - Prefix:
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Mailing Address - Street 1:1765 SPRINGDALE RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2177
Mailing Address - Country:US
Mailing Address - Phone:856-751-4554
Mailing Address - Fax:856-751-6888
Practice Address - Street 1:1765 SPRINGDALE RD
Practice Address - Street 2:SUITE B2
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2177
Practice Address - Country:US
Practice Address - Phone:856-751-4554
Practice Address - Fax:856-751-6888
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMD026501E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0397401Medicaid
PA1031899OtherKEYSTONE MERCY
PA192209OtherPA MEDICARE
NJ0016562000OtherAMERIHEALTH HMO & POS
NJ0035556OtherUS HEALTHCARE
NJJ013830OtherCHAMPUS
NJ542264OtherPA PERSONAL CHOICE
NJ546273OtherINTERGROUP
NJ3423437AOtherCIGNA HEALTHCARE
NJ542264OtherPA PERSONAL CHOICE
NJ542264Medicare ID - Type Unspecified