Provider Demographics
NPI:1942409479
Name:LUBIN, FRITZ (MD)
Entity Type:Individual
Prefix:
First Name:FRITZ
Middle Name:
Last Name:LUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRITZ
Other - Middle Name:JAVIER
Other - Last Name:LUBIN GOMEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1321 FIFTH AVE
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2403
Mailing Address - Country:US
Mailing Address - Phone:412-664-2782
Mailing Address - Fax:412-664-2784
Practice Address - Street 1:1321 FIFTH AVE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2403
Practice Address - Country:US
Practice Address - Phone:412-664-2782
Practice Address - Fax:412-664-2784
Is Sole Proprietor?:No
Enumeration Date:2007-07-14
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429878207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine