Healthcare Provider Details
I. General information
NPI: 1437274560
Provider Name (Legal Business Name): RUBLER AND HALPERN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 11/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5570 STERRETT PL SUITE 301
COLUMBIA MD
21044-2641
US
IV. Provider business mailing address
5570 STERRETT PL 301
COLUMBIA MD
21044-2641
US
V. Phone/Fax
- Phone: 410-997-0707
- Fax: 410-997-2357
- Phone: 410-997-0707
- Fax: 410-997-2357
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | 6992 |
| License Number State | MD |
VIII. Authorized Official
Name: DR.
BARBARA
G
HALPERN
Title or Position: DR.
Credential: D.D.S.
Phone: 410-997-0707