Provider Demographics
NPI:1982754594
Name:RICHARD G. RUBEN, M.D.
Entity Type:Organization
Organization Name:RICHARD G. RUBEN, M.D.
Other - Org Name:BURLINGTON PEDIATRICS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:RUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-272-2210
Mailing Address - Street 1:281 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2543
Mailing Address - Country:US
Mailing Address - Phone:781-272-2210
Mailing Address - Fax:781-229-8324
Practice Address - Street 1:281 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-2543
Practice Address - Country:US
Practice Address - Phone:781-272-2210
Practice Address - Fax:781-229-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9782532Medicaid