Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | NJMA69160 | NJ |
NPI | 1326156480 |
---|---|
Provider Name | Dr. Douglas S Rabin |
First Address | Fair Lawn, NJ 07410-4617 |
Second Address | Fair Lawn, NJ 07410-4617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 26/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A60466 | (02) | NJ |
BR1642493 | DEA (01) | NJ |