Provider Demographics
NPI:1255458642
Name:DUBINSKY LONDER, IRENE (DC)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:
Last Name:DUBINSKY LONDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 VALLEY FORGE CIR
Mailing Address - Street 2:SUITE G-12
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1110
Mailing Address - Country:US
Mailing Address - Phone:610-783-1311
Mailing Address - Fax:610-783-1112
Practice Address - Street 1:3000 VALLEY FORGE CIR
Practice Address - Street 2:SUITE G-12
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1110
Practice Address - Country:US
Practice Address - Phone:610-783-1311
Practice Address - Fax:610-783-1112
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006531-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor