Individual
WENDY L DUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
(410) 494-1718
Mailing address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7921
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0040690
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0040690
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015 E554
BLUE CHOICE/FEP
MD
01
—
1949225
UNITED HEALTHCARE
—
01
—
290012459
RAILROAD MEDICARE
—
01
—
298739
MAMSI
—
01
—
84127601 420A
BLUE SHIELD
MD
Enumeration date
10/04/2006
Last updated
07/21/2022
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