Individual
DR. JERRY RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 E FLORIDA AVE STE 300, DENVER, CO 80210-2571
(303) 388-4256
Mailing address
PO BOX 17982, BELFAST, ME 04915
(303) 388-4256
(303) 388-7802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0022028
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10363285
CAQH
—
Enumeration date
08/18/2006
Last updated
08/10/2023
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