Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 9701576 | NC |
NPI | 1235113317 |
---|---|
Provider Name | Bruce Kalman Rubin |
First Address | Richmond, VA 23298-0646 |
Second Address | Richmond, VA 23298-0646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 21/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093T | BCBS (01) | |
17762 | PARTNERS (01) | |
220407000 | (05) | WV |
370020986 | RR MEDICARE (01) | |
6729738 | (05) | VA |
7556338 | AETNA (01) | |
76111 | MEDCOST (01) | |
891093T | (05) | NC |
E84729 | (02) | |
Q0157C | (05) | SC |