Individual
CHRISTOPHER HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 HAMBURG TPKE STE 100, WAYNE, NJ 07470-3235
(973) 616-0200
(973) 616-1792
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
201777
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
25MA07184700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02098502
—
NY
01
—
P00078528
RAILROAD MEDICARE
NY
Enumeration date
09/27/2006
Last updated
06/09/2020
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