# STUART MICHAEL DUBOFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417901356
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 042-0005399 | VT | Yes |
| 207W00000X | Ophthalmology Physician | 37276 | MA | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 03/30/2018

## 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 |