Provider Demographics
NPI:1659394013
Name:DUBOVSKY, ELIZABETH CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CAROL
Last Name:DUBOVSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21318 FOXCROFT RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20117-3426
Mailing Address - Country:US
Mailing Address - Phone:855-687-7237
Mailing Address - Fax:855-673-9190
Practice Address - Street 1:117 N JAY ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VA
Practice Address - Zip Code:20117-2661
Practice Address - Country:US
Practice Address - Phone:888-647-5979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010429022085N0700X, 2085R0202X, 2085N0700X
CT0144362085N0700X
AZ313662085N0700X
NJ25MA075760002085N0700X
NY2249542085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCF86390Medicare UPIN