Organization
TERRY J. DUBROW A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY JOEL DUBROW M.D. (PRESIDENT)
(949) 515-4111
Entity
Organization
Contact information
Practice address
1617 WESTCLIFF DR STE 100, NEWPORT BEACH, CA 92660-5525
(949) 515-4111
(949) 515-0318
Mailing address
1617 WESTCLIFF DR STE 100, NEWPORT BEACH, CA 92660-5525
(949) 515-4111
(949) 515-0318
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G62109
CA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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