Healthcare Provider Details

I. General information

NPI: 1518928811
Provider Name (Legal Business Name): MARTIN DONALD RUBENSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E HAMILTON AVE STE 200
CAMPBELL CA
95008
US

IV. Provider business mailing address

50 E HAMILTON AVE STE 200
CAMPBELL CA
95008
US

V. Phone/Fax

Practice location:
  • Phone: 408-376-2300
  • Fax: 408-376-2316
Mailing address:
  • Phone: 408-376-2300
  • Fax: 408-376-2316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberG34432
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberG34432
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: