Provider Demographics
NPI:1205022803
Name:RUBIN, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 CHELMSFORD ROAD
Mailing Address - Street 2:GLENWOOD
Mailing Address - City:DURBAN, NATAL
Mailing Address - State:ZA
Mailing Address - Zip Code:77551
Mailing Address - Country:ZA
Mailing Address - Phone:031-240-1730
Mailing Address - Fax:
Practice Address - Street 1:PREOP ANESTHESIOLOGY CLINIC
Practice Address - Street 2:ALBERB LUTHULI
Practice Address - City:MAYVILLE, DURBAN
Practice Address - State:ZA
Practice Address - Zip Code:77555-0591
Practice Address - Country:ZA
Practice Address - Phone:031-240-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43909207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine