Rubin, Dana Sue

Rubin, Dana Sue is an individual health care provider with primary practice located at 850 Harrison Ave Dowling 9, Boston MA 02118-4001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Rubin, Dana Sue can be contacted via phone (617) 414-5245.

Contact Information

Primary practice address
850 Harrison Ave Dowling 9 Boston MA 02118-4001
Phone: (617) 414-5245
Fax: (617) 638-6836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72190 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 72190 Massachusetts

Profile Details

NPI number 1598725582
LBN Legal business name Rubin, Dana Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598725582 NPPES
Massachusetts MEDICAID 110056241A

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