Fugate, Margo L.

Fugate, Margo L. is an sole proprietor health care provider with primary practice located at 226 Dixwell Avenue Cfg-Dixwell, New Haven CT 06511-3456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Fugate, Margo L. can be contacted via phone (203) 503-3458.

Contact Information

Primary practice address
226 Dixwell Avenue Cfg-Dixwell New Haven CT 06511-3456
Fax: (203) 503-3451
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 61909 Connecticut

Profile Details

NPI number 1568578227
LBN Legal business name Fugate, Margo L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Oct 4th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568578227 NPPES
Connecticut MEDICAID 004235918

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