Individual
TIMOTHY DUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
501 S 54TH ST, ACADEMIC ER SVCS - ER DEPT, PHILADELPHIA, PA 19143-1900
(215) 748-9435
Mailing address
12 GILL ST, STE 3000, WOBURN, MA 01801-1728
(781) 937-4522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN315752L, SP007490
PA
Other
Enumeration date
06/18/2006
Last updated
04/29/2008
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