Individual
GLENN ALAN DUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 OLD BRIDGE TURNPIKE, STE 7, SOUTH RIVER, NJ 08882
(732) 390-4888
(732) 390-0255
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA05148200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323705
—
NJ
Enumeration date
10/26/2005
Last updated
04/28/2025
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