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Individual
MR. JEROME P RUBIN
Active
Individual
MR. JEROME P RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1020744
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012260
BEACON HEALTH STRAT ID
MA
01
—
116026000
MAGELLAN BEHAVL HEALTH ID
MA
05
—
1892592
—
MA
01
—
732532
TUFTS HEALTH PLAN ID
MA
Enumeration date
12/20/2006
Last updated
07/21/2011
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