Provider Demographics
NPI:1467914580
Name:RUBINSTEIN, CHARLES HOWARD (RP)
Entity Type:Individual
Prefix:MS
First Name:CHARLES
Middle Name:HOWARD
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-3618
Mailing Address - Country:US
Mailing Address - Phone:609-380-4846
Mailing Address - Fax:
Practice Address - Street 1:912 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-3618
Practice Address - Country:US
Practice Address - Phone:609-380-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01385600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist