Provider Demographics
NPI:1710064928
Name:HUBBARD, DEBORAH (DPM)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 ASHBURNHAM HILL RD
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-1866
Mailing Address - Country:US
Mailing Address - Phone:978-423-8907
Mailing Address - Fax:978-343-3188
Practice Address - Street 1:680 ASHBURNHAM HILL RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-1866
Practice Address - Country:US
Practice Address - Phone:978-423-8907
Practice Address - Fax:978-343-3188
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2006213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery