Provider Demographics
NPI:1881657393
Name:RUBINFELD, DAVID IRWIN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:IRWIN
Last Name:RUBINFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:417 W BLACKWELL ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-2521
Mailing Address - Country:US
Mailing Address - Phone:973-366-8022
Mailing Address - Fax:973-366-3397
Practice Address - Street 1:417 W BLACKWELL ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-2521
Practice Address - Country:US
Practice Address - Phone:973-366-8022
Practice Address - Fax:973-366-3397
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA029584204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ410561Medicare PIN