Individual
ALEXANDER SASS RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6611 HUNTER TRAIL WAY, FREDERICK, MD 21702-2986
(301) 698-2438
Mailing address
6611 HUNTER TRAIL WAY, FREDERICK, MD 21702-2986
(301) 788-0713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E42244
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328171000
—
MD
01
—
601285800
FECA
—
Enumeration date
05/26/2006
Last updated
12/23/2013
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