Provider Demographics
NPI:1790356343
Name:DUBROFF, MCCALL (CNM, WHNP-BC)
Entity type:Individual
Prefix:
First Name:MCCALL
Middle Name:
Last Name:DUBROFF
Suffix:
Gender:
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:MCCALL
Other - Middle Name:
Other - Last Name:BREUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:522 CYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3876
Mailing Address - Country:US
Mailing Address - Phone:410-770-8910
Mailing Address - Fax:833-908-2284
Practice Address - Street 1:522 CYNWOOD DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3876
Practice Address - Country:US
Practice Address - Phone:410-770-8910
Practice Address - Fax:833-908-2284
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010652367A00000X
MDR250570367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife