Doctor Name: | JOSEPH RAYMOND DUBA |
NPI Number: | 1942389689 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 1384541 |
Business Practice Address: | 8 West Main Street Shortsville, NY - 14548 |
Business Phone Number: | 5852899160 |
Business Fax Number: | 5852899162 |
Mailing Address: | Po Box 8, 8 West Main Street SHORTSVILLE |
State: | NY |
Postal Code: | 14548 |
Phone Number: | 5852899160 |
Fax Number: | 5852899162 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1384541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |