Provider Demographics
NPI:1851486658
Name:DE LA CROIX-VAUBOIS, SABINE CONSTANZE (MD)
Entity Type:Individual
Prefix:
First Name:SABINE
Middle Name:CONSTANZE
Last Name:DE LA CROIX-VAUBOIS
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 1:4808 MOORLAND LN STE 109
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6131
Mailing Address - Country:US
Mailing Address - Phone:301-654-9476
Mailing Address - Fax:301-654-1164
Practice Address - Street 1:4808 MOORLAND LN STE 109
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6131
Practice Address - Country:US
Practice Address - Phone:301-654-9476
Practice Address - Fax:301-654-1164
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0069560208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics