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Individual

IRA DANIEL ZUBKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
11781 LEE JACKSON MEMORIAL HWY, STE 550, FAIRFAX, VA 22033-3309
(571) 777-5164
(703) 890-2650

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-099313
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02811530
NY
Enumeration date
06/13/2006
Last updated
10/31/2016
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