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Individual

DR. MITCHELL I RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1101 MEDICAL CENTER BLVD, PEDIATRIC ER, MARRERO, LA 70072-3147
(504) 349-1555
(504) 349-1670
Mailing address
1101 MEDICAL CENTER BLVD, ATTN: HEIDI GWINN, MARRERO, LA 70072-3147
(504) 349-1297
(504) 349-1146

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024396
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1573833
LA
Enumeration date
09/27/2005
Last updated
06/16/2016
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