Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MB01668500 | NJ |
NPI | 1467428623 |
---|---|
Provider Name | Dr. Alvin Daniel Dubin |
First Address | Cherry Hill, NJ 08003-3449 |
Second Address | Cherry Hill, NJ 08003-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 05/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E56498 | (02) |