person
Charles J Sugarman, DPM
Primary Podiatric Medicine Podiatrist in Southgate, Kentucky
NPI 1265431845

Charles J Sugarman is a Primary Podiatric Medicine Podiatrist based in Lakeside Park, KY and is specialized in Primary Podiatric Medicine. Charles J Sugarman practices in Southgate, KY and has the professional credentials of DPM. The NPI Number for Charles J Sugarman is 1265431845 and holds a License No. 00170 (Kentucky).

The current practice location address for Charles J Sugarman is 525 Alexandria Pike, Southgate, KY and can be reached out via phone at 859-441-4334 and via fax at 859-441-3698.

Location: 525 Alexandria Pike, Southgate, KY, 41017-1686
person
Provider Profile Details
NPI Number
1265431845
Provider Name
Charles J Sugarman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
525 Alexandria Pike, Southgate, KY, 41017-1686
Phone Number
859-441-4334
Fax Number
859-441-3698
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27-00336 01 KY UHC
90260191 05 KY
4491387 01 KY AETNA
80001704 05 KY
000000033161 01 KY ANTHEM
institution
Provider Business Practice Location Address Details
Address
525 Alexandria Pike
City
State
Zip
41071-3290
Phone Number
859-441-4334
Fax Number
859-441-3698
person
Provider Business Mailing Address Details
Address
525 Alexandria Pike
City
State
Zip
41071-3290
Phone Number
859-441-4334
Fax Number
859-441-3698
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
00170 (Kentucky)
Definition
Definition to come...
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