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Individual

DR. JOHN STEPHEN RUBSAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
71 CEDAR ST, BRANFORD, CT 06405
(203) 481-5909
(203) 483-5289
Mailing address
71 CEDAR ST, BRANFORD, CT 06405
(203) 481-5909
(203) 483-5289

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1022
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004075511
CT
01
090001022CT01
ANTHEM BLUE CROSS ID
CT
01
4419937
AETNA ID
CT
01
615076
CONNECTICARE ID
CT
01
OV1151
HEALTHNET OF CONN. ID
CT
01
P1285753
OXFORD HEATH ID
CT
Enumeration date
01/27/2006
Last updated
05/23/2016
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