Provider Demographics
NPI:1780888974
Name:RUBIN, CORY JOSHUA (MD)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:JOSHUA
Last Name:RUBIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2665 ELIZABETH LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-3277
Mailing Address - Country:US
Mailing Address - Phone:248-681-9541
Mailing Address - Fax:248-681-9581
Practice Address - Street 1:2665 ELIZABETH LAKE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-3277
Practice Address - Country:US
Practice Address - Phone:248-681-9541
Practice Address - Fax:248-681-9581
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2021-06-14
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Provider Licenses
StateLicense IDTaxonomies
MI4301090984207NI0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology