Individual
MISS ANNA DUBYANSKITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 HOLME AVE, PHILADELPHIA, PA 19152
(215) 331-0515
(215) 331-8144
Mailing address
2701 HOLME AVE, STE 203, PHILADELPHIA, PA 19152
(215) 331-0515
(215) 331-8144
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD032659E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079649000
KEYSTONE EAST
PA
05
—
01121682
—
PA
01
—
901612
BLUE SHIELD
PA
Enumeration date
08/31/2006
Last updated
06/29/2010
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