MEDICARE: DR. RONALD H. DUBOW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	25MA03655500	NJ
2	207R00000X	Internal Medicine Physician	25MA03655500	NJ
3	208000000X	Pediatrics Physician	25MA03655500	NJ

General Provider Information

NPI Number	:	1861484255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD H. DUBOW M.D.

Provider Business Mailing Address
First Line	:	319 HIGHWAY 130 NORTH
Second Line	:	SUITE 29B
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520
Country	:	US
Telephone Number	:	609-426-1555
Fax Number	:	609-443-1394

Provider Business Practice Location Address
First Line	:	319 HIGHWAY 130 NORTH
Second Line	:	SUITE 29B
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520
Country	:	US
Telephone Number	:	609-426-1555
Fax Number	:	609-443-1394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	01/28/2026

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