Individual
DR. RAYMOND J. HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 BERKSHIRE CT, WYOMISSING, PA 19610-1224
(610) 374-7400
(610) 374-7400
Mailing address
40 BERKSHIRE CT, WYOMISSING, PA 19610-1224
(610) 374-7400
(610) 374-7400
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD041312E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1169523
—
PA
Enumeration date
12/21/2005
Last updated
08/12/2010
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