| | Physician Last Name: | Kublin |
| | Physician First Name: | Anne |
| | Physician Middle Name: | |
| | Address: | 182 Whale Pond Road
Eatontown, New Jersey 07724 |
| | License Number: | 182139 |
| | License Type: | MD |
| | Year of Birth: |
1960
|
| | Effective Date: | 05/06/2004 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the New Jersey State Board of Medical Examiners for fraud and/or misrepresentation and failure to cooperate with the New Jersey State Board of Medical Examiners during the course of an investigation. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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