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STUART MICHAEL DUBOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
322 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 447-8700
(802) 447-1500
Mailing address
322 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 447-8700
(802) 447-1500

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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