Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MB42870 | NJ |
NPI | 1003861758 |
---|---|
Provider Name | Stuart G. Dubowitch |
First Address | Cherry Hill, NJ 08002-0566 |
Second Address | Cherry Hill, NJ 08002-2048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 16/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C54434 | (02) | NJ |