Provider Demographics
NPI:1184627903
Name:DUBINSKY, DIANE E (MD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:E
Last Name:DUBINSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3650 JOSEPH SIEWICK DR
Mailing Address - Street 2:STE 101
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1700
Mailing Address - Country:US
Mailing Address - Phone:703-391-0900
Mailing Address - Fax:703-391-2919
Practice Address - Street 1:3650 JOSEPH SIEWICK DR
Practice Address - Street 2:STE 101
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1700
Practice Address - Country:US
Practice Address - Phone:703-391-0900
Practice Address - Fax:703-391-2919
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101036379208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6723306Medicaid
G06126Medicare UPIN