Individual
DANA SUE RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVE, DOWLING 9, BOSTON, MA 02118-4001
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72190
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
72190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110056241A
—
MA
Enumeration date
03/24/2006
Last updated
09/17/2014
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