Provider Demographics
NPI:1528077666
Name:DUBEY, ANIL K (MD)
Entity type:Individual
Prefix:DR
First Name:ANIL
Middle Name:K
Last Name:DUBEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:331 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-7006
Mailing Address - Country:US
Mailing Address - Phone:978-745-1200
Mailing Address - Fax:978-740-4649
Practice Address - Street 1:331 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-7006
Practice Address - Country:US
Practice Address - Phone:978-745-1200
Practice Address - Fax:978-740-4649
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY265550207R00000X
MA155617207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400072078Medicare PIN