Individual
CAROLE Z RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3022 WILLIAMS DRIVE, STE 204, FAIRFAX, VA 22031-4623
(703) 698-8800
Mailing address
3015 WILLIAMS DRIVE, STE 200, FAIRFAX, VA 22031-4623
(703) 641-9133
(703) 280-5098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0047818
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303661800
—
MD
01
—
60234801
BLUE SHIELD
MD
01
—
80430027
BLUE SHIELD
DC
Enumeration date
07/28/2006
Last updated
10/24/2007
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