Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 25MA062736 | NJ |
NPI | 1003991712 |
---|---|
Provider Name | Eric A Rubin |
First Address | Red Bank, NJ 07701 |
Second Address | New Brunswick, NJ 08901-1914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 03/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6737803 | (05) | NJ |
B38955 | (02) | NJ |