Provider Demographics
NPI:1679899439
Name:ZUBOWICZ, ELIZABETH ALEXANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ALEXANDRA
Last Name:ZUBOWICZ
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 748613
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15195 HEATHCOTE BLVD STE 350
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-6244
Practice Address - Country:US
Practice Address - Phone:571-284-3380
Practice Address - Fax:571-284-3389
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD043188208600000X
VA0101266480208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery