Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 235279 | MA |
N | 111NI0900X | Internist | 235279 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 235279 | MA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 235279 | MA |
NPI | 1154589422 |
---|---|
Provider Name | Steven Alan Lubitz |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 24/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I23456 | (02) | NY |