Individual
STEPHANIE JILL RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(800) 935-8387
(504) 507-6111
Mailing address
7444 SAINT CHARLES AVE APT 202, NEW ORLEANS, LA 70118-3866
(215) 378-0212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
323155
LA
208000000X
Pediatrics Physician
323155
LA
Other
Enumeration date
03/24/2016
Last updated
06/22/2020
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