Provider Demographics
NPI:1689753683
Name:RUBIN, RICHARD LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LLOYD
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 1:25 WATER ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2861
Mailing Address - Country:US
Mailing Address - Phone:203-458-0661
Mailing Address - Fax:203-458-6068
Practice Address - Street 1:25 WATER ST
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2861
Practice Address - Country:US
Practice Address - Phone:203-458-0661
Practice Address - Fax:203-458-6068
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2008-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0167772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry