Organization
KENNETH J RUBIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J RUBIN MD (PRESIDENT)
(732) 870-3535
Entity
Organization
Contact information
Practice address
170 MORRIS AVE, SUITE D, LONG BRANCH, NJ 07740-8214
(732) 870-3535
Mailing address
170 MORRIS AVE, SUITE D, LONG BRANCH, NJ 07740-8214
(732) 870-3535
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
25MA03317200
NJ
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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