Provider Demographics
NPI:1447233507
Name:LUBINSKY, GREGG IRA (RPH, CCP, FASCP)
Entity Type:Individual
Prefix:MR
First Name:GREGG
Middle Name:IRA
Last Name:LUBINSKY
Suffix:
Gender:M
Credentials:RPH, CCP, FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1402
Mailing Address - Country:US
Mailing Address - Phone:908-685-1373
Mailing Address - Fax:908-685-1718
Practice Address - Street 1:1169 FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1402
Practice Address - Country:US
Practice Address - Phone:908-685-1373
Practice Address - Fax:908-685-1718
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01503700183500000X, 1835N1003X, 1835P1200X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric