Dubov, Glenn Alan
Dubov, Glenn Alan is an individual health care provider with primary practice located at 8 Old Bridge Tpke , South River NJ 08882-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dubov, Glenn Alan can be contacted via phone (732) 390-4888.Contact Information
Primary practice address
8 Old Bridge Tpke
South River NJ 08882-2400
Phone: (732) 390-4888
Fax: (732) 390-0255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 51482 | New Jersey |
Profile Details
| NPI number | 1407846884 |
|---|---|
| LBN Legal business name | Dubov, Glenn Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407846884 | NPPES |
| New Jersey | MEDICAID | 0323705 |
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