Provider Demographics
NPI:1073705208
Name:DUBOWITZ, NADINE (MD)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:DUBOWITZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 BEVERLY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3719
Mailing Address - Country:US
Mailing Address - Phone:703-852-8287
Mailing Address - Fax:703-852-8288
Practice Address - Street 1:1420 BEVERLY RD STE 100
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3719
Practice Address - Country:US
Practice Address - Phone:703-852-8287
Practice Address - Fax:703-852-8288
Is Sole Proprietor?:No
Enumeration Date:2007-08-12
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101284847207R00000X, 207RG0300X
CAA98723207R00000X
MDD0102907207RG0300X
GA062682207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine