Individual
FRED RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 258-3477
(860) 571-6802
Mailing address
PO BOX 587, ROCKY HILL, CT 06067-0587
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
024589
CT
207U00000X
Nuclear Medicine Physician
204589
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124589300
—
CT
Enumeration date
09/22/2006
Last updated
08/03/2010
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