Individual
SANDEEP SINGH JUBBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8230
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270462
MA
207RI0200X
Infectious Disease Physician
Primary
270462
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119386A
—
MA
Enumeration date
09/09/2012
Last updated
03/28/2025
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