Individual
EUGENE BUBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, LDN
Contact information
Practice address
1163 WALNUT ST, SUITE 12, NEWTON HIGHLANDS, MA 02461-1265
(617) 965-1181
Mailing address
1163 WALNUT ST, SUITE 12, NEWTON HIGHLANDS, MA 02461-1265
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1911
MA
133V00000X
Registered Dietitian
1911
MA
175F00000X
Naturopath
1019
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA23515
HARVARD PILGRIM
MA
01
—
LD0082
BCBSMA
MA
Enumeration date
01/22/2007
Last updated
09/11/2025
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