Individual
LAWRENCE M. DUBUSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2112 F ST NW STE 501, WASHINGTON, DC 20037-2704
(978) 632-7361
(978) 632-1573
Mailing address
358 ELM ST, GARDNER, MA 01440-3926
(978) 632-8408
(978) 632-1573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47715
MA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
47715
MA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
MD038893
DC
207RR0500X
Rheumatology Physician
47715
MA
207RR0500X
Rheumatology Physician
MD038893
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152749
—
MA
Enumeration date
11/07/2005
Last updated
09/07/2021
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