Individual
DR. STEPHEN ELLIOTT DUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
67 CODDINGTON ST, SUITE 205, QUINCY, MA 02169
(617) 471-2293
(617) 471-1293
Mailing address
67 CODDINGTON ST, SUITE 205, QUINCY, MA 02169
(617) 471-2293
(617) 471-1293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA58415
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22093
BOSTON MEDICAL HEALTH NET
—
01
—
22330
HARVARD PILGRIM
—
05
—
3040518
—
MA
01
—
710697
TUFTS
—
01
—
V06959
BCBS
—
Enumeration date
08/05/2006
Last updated
07/08/2007
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