Provider Demographics
NPI:1902023872
Name:STEIN, LUBA (MD)
Entity Type:Individual
Prefix:
First Name:LUBA
Middle Name:
Last Name:STEIN
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 1:596 ANDERSON AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1831
Mailing Address - Country:US
Mailing Address - Phone:201-840-9922
Mailing Address - Fax:201-840-9933
Practice Address - Street 1:596 ANDERSON AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-1831
Practice Address - Country:US
Practice Address - Phone:201-840-9922
Practice Address - Fax:201-840-9933
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA7122400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics