Provider Demographics
NPI:1609816321
Name:RUBINSTEIN, HENRY M (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:M
Last Name:RUBINSTEIN
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 1:61 4TH ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5010
Mailing Address - Country:US
Mailing Address - Phone:203-324-0307
Mailing Address - Fax:
Practice Address - Street 1:61 FOURTH ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905
Practice Address - Country:US
Practice Address - Phone:203-324-0307
Practice Address - Fax:203-324-6049
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT017105207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT020523OtherHEALTHNET
CT0567805002OtherCIGNA SEEMLESS
CTZS573OtherOXFORD
CT017105OtherCONNECTICARE
CT0567805001OtherCIGNA HMO
CT115643OtherUNITEDHEALTHCARE
CT95530OtherU.S. HEALTHCARE
4112907OtherAETNA
CT010017105CT01OtherANTHEM BCBS
CT16067OtherMD HEALTH
CT017105OtherCONNECTICARE
4112907OtherAETNA
CT0567805002OtherCIGNA SEEMLESS