Provider Demographics
NPI:1235239740
Name:RUBENSTONE, SALLY J (MD)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:J
Last Name:RUBENSTONE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:240 MONROE DR
Mailing Address - Street 2:#401
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-1067
Mailing Address - Country:US
Mailing Address - Phone:650-947-6716
Mailing Address - Fax:650-857-0264
Practice Address - Street 1:4153 EL CAMINO WAY STE B
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-4034
Practice Address - Country:US
Practice Address - Phone:650-857-0226
Practice Address - Fax:650-857-0264
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG53652207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A52565Medicare UPIN