MEDICARE: RICHARD P RUBENSTEIN MD

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
1	207R00000X	Internal Medicine Physician	17597	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110160466	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417999392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD P RUBENSTEIN MD

Provider Business Mailing Address
First Line	:	1960 OGDEN ST
Second Line	:	SUITE 120
City	:	DENVER
State	:	CO
Zip	:	80218-3666
Country	:	US
Telephone Number	:	303-318-3840
Fax Number	:	303-837-0208

Provider Business Practice Location Address
First Line	:	1960 N OGDEN STREET
Second Line	:	SUITE 120
City	:	DENVER
State	:	CO
Zip	:	80218-3667
Country	:	US
Telephone Number	:	303-318-3840
Fax Number	:	303-837-0208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	01/13/2012

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Directions to “ RICHARD P RUBENSTEIN MD” Practice Location

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