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Individual
STUART MICHAEL DUBOFF
Active
Individual
STUART MICHAEL DUBOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0005399
VT
207W00000X
Ophthalmology Physician
37276
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024103
BMC
MA
01
—
000000024104
BMC
VT
05
—
0004364
—
VT
05
—
00360054
—
NY
01
—
10000532
CDPHP
MA
01
—
10000532
CDPHP
VT
05
—
110000245A
—
MA
01
—
11962
HNE
MA
01
—
11962
HNE
VT
01
—
17154
MVP
MA
01
—
17154
MVP
VT
01
—
I19049
MABS
MA
01
—
I19049
MABS
VT
01
—
VT0005994
TRICARE
VT
01
—
VT4364
VTBS
MA
01
—
VT4364
VTBS
VT
Enumeration date
05/22/2006
Last updated
03/30/2018
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