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Individual

DR. NICOLE DAWN RUBACKIN-HAYWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
159 MARLBORO RD, GLEN ROCK, NJ 07452-1902
(201) 857-4467
Mailing address
159 MARLBORO RD, GLEN ROCK, NJ 07452-1902
(201) 857-4467

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00298400
NJ

Other

Enumeration date
07/02/2009
Last updated
07/02/2009
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