Individual
YVES GEORGES DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SULLIVAN WAY, WEST TRENTON, NJ 08628-3406
(609) 633-1562
(609) 633-8527
Mailing address
5603 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1836
(856) 665-1045
(856) 665-1046
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06610200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040425C2D
MEDICARE PROVIDER NUMBER
—
Enumeration date
10/13/2006
Last updated
04/10/2008
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