Basic Information
Provider Information
NPI: 1265948335
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUGHES
FirstName: CHRISTOPHER
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: MBBS FRACS FAHNOS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 908 NIAGARA FALLS BLVD STE 208
Address2:  
City: NORTH TONAWANDA
State: NY
PostalCode: 141202019
CountryCode: US
TelephoneNumber: 7166923302
FaxNumber: 7166924342
Practice Location
Address1: 462 GRIDER ST
Address2:  
City: BUFFALO
State: NY
PostalCode: 142153021
CountryCode: US
TelephoneNumber: 7168983073
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/27/2017
LastUpdateDate: 01/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086X0206X291727NYY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

No ID Information.


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