Healthcare Provider Details

I. General information

NPI: 1558558304
Provider Name (Legal Business Name): LUBNA M ZUBERI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S 9TH ST STE 600
PHILADELPHIA PA
19107-6810
US

IV. Provider business mailing address

190 W SPROUL RD
SPRINGFIELD PA
19064-2027
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-1925
  • Fax:
Mailing address:
  • Phone: 610-338-1820
  • Fax: 610-338-1825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD053423L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: