Provider Demographics
NPI:1487645628
Name:LUBINER, ERIC T (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:T
Last Name:LUBINER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3073 WHITE MOUNTAIN HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-7101
Mailing Address - Country:US
Mailing Address - Phone:603-356-4904
Mailing Address - Fax:603-356-0842
Practice Address - Street 1:3073 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-7101
Practice Address - Country:US
Practice Address - Phone:603-356-4904
Practice Address - Fax:603-356-0842
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8082207RH0003X
CA20A13740207RH0003X
MEDO2792207RH0003X
NH19655207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL830007249OtherRR MEDICARE
FL260998300Medicaid
FLH29884Medicare UPIN
FL49957ZMedicare PIN