Individual
DR. LEONARD M RUBIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, 5TH FLOOR WANG AMBULATORY CARE BULLFINCH MEDICAL GROUP, BOSTON, MA 02114-3130
(617) 724-6672
(617) 724-6829
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71971
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071971
TUFTS HEALTH PLAN
MA
05
—
3057658
—
MA
01
—
J09313
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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