Organization
IAN M. RUBINS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA H DONIS (BILLING ADMINISTRATOR)
(203) 618-0687
Entity
Organization
Contact information
Practice address
4 DEARFIELD DR, SUITE 106, GREENWICH, CT 06831-5351
(203) 618-0687
(203) 869-0019
Mailing address
4 DEARFIELD DR, SUITE 106, GREENWICH, CT 06831-5351
(203) 618-0687
(203) 869-0019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033766
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033766CT03
ANTHEM BCBS
CT
01
—
05676572
AETNA
CT
01
—
1336207968
INDIVIDUAL PROVIDER NPI
CT
01
—
CU1896
ACS HEALTHNET
CT
01
—
P967462
OXFORD
CT
Enumeration date
11/13/2007
Last updated
11/13/2007
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