Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 42710 | MA |
NPI | 1003873126 |
---|---|
Provider Name | Mitchell Howard Rubenstein |
First Address | Boston, MA 02115 |
Second Address | Brookline, MA 02445-6002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 31/05/2012 |