Individual
DR. MATTHEW WILLIAM RUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 CONWELL ST, PROVINCETOWN, MA 02657-1548
(508) 487-1459
(508) 349-0966
Mailing address
PO BOX 964, TRURO, MA 02666-0964
(508) 349-9661
(508) 349-0966
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208742
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125181
—
MA
Enumeration date
07/11/2005
Last updated
07/08/2007
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