Provider Demographics
NPI:1447231022
Name:MCHUGH, BRENDA M (MD)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:M
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-832-5917
Mailing Address - Fax:508-832-5751
Practice Address - Street 1:35 MILLBURY ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-3203
Practice Address - Country:US
Practice Address - Phone:508-832-5917
Practice Address - Fax:508-832-5751
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA59755208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherONE HEALTH PLAN
042472266OtherTHREE RIVERS
3101053OtherMEDICAID PCC
3324426OtherCIGNA PAL ID
A30502OtherMEDICARE B
784161OtherMVP HEALTH CARE
AA1176OtherHARVARD PILGRIM HEALTHCAR
042472266OtherPRIVATE HEALTHCARE SYSTEM
28023OtherHEALTHY START
042472266OtherHEALTHCARE VALUE MANAGEME
28023OtherCHILDRENS MEDICAL SECURIT
7089302OtherAETNA/ US HEALTHCARE
J07922OtherBLUE SHIELD HMO BLUE
3101053OtherMEDICAID/WELFARE
J07922OtherBLUE SHIELD INDEMNITY
917951OtherFIRST HEALTH
9900244OtherFALLON COMMUNITY HEALTH P
J07922OtherBLUE CARE ELECT
J07922OtherBLUE CARE ELECT
D87833Medicare UPIN