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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598725582 | NPPES |
| Massachusetts | MEDICAID | 110056241A |
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