Provider Demographics
NPI:1104863091
Name:LUBINSKI, STUART M (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:M
Last Name:LUBINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1095 RYDAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1711
Mailing Address - Country:US
Mailing Address - Phone:267-620-1100
Mailing Address - Fax:215-572-1279
Practice Address - Street 1:1095 RYDAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RYDAL
Practice Address - State:PA
Practice Address - Zip Code:19046-1711
Practice Address - Country:US
Practice Address - Phone:267-620-1100
Practice Address - Fax:215-572-1279
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD067748L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000989772OtherAMERIHEALTH
PA1097776OtherKEYSTONE MERCY
PA6048144003OtherCIGNA
PA7399001OtherAETNA
PAP2185206OtherOXFORD
PA0185663000OtherKEYSTONE EAST
PA100012735OtherPALMETTO GBA
PA231937219OtherTRICARE
PA231937219OtherFIRST HEALTH
PA000989772OtherPERSONAL CHOICE
PA231937219OtherDEVON
PA231937219OtherMULTIPLAN
PW017729700003Medicaid
PA000989772OtherHIGHMARK BLUE SHIELD
PA7399001OtherAETNA