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NPI Code Detail

MEDICARE: DR. JOELLE L RUBINO ATC

MEDICARE: DR. JOELLE L RUBINO ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerJ3-0000206DE

General Provider Information

NPI Number : 1073559084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOELLE L RUBINO ATC
Provider Business Mailing Address
First Line : 915 WESTVIEW TER
Second Line :
City : DOVER
State : DE
Zip : 19904-6809
Country : US
Telephone Number : 302-736-9938
Fax Number :
Provider Business Practice Location Address
First Line : 1288 S GOVERNORS AVE
Second Line :
City : DOVER
State : DE
Zip : 19904-4802
Country : US
Telephone Number : 302-677-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOELLE L RUBINO ATC” Practice Location

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