Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD0000019415 | TN |
NPI | 1033150404 |
---|---|
Provider Name | Dr. Richard Rubinowicz |
First Address | Goodlettsville, TN 37072-3132 |
Second Address | Smyrna, TN 37167-6834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 11/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130020427 | RRMEDICARE (01) | TN |
3042647 | (05) | TN |
6029202 | BCBS TN (01) | TN |