MEDICARE: DR. DOMENICA MARIE RUBINO M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MD32032	DC
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	0101222197	VA

General Provider Information

NPI Number	:	1639226236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOMENICA MARIE RUBINO M.D.

Provider Business Mailing Address
First Line	:	2800 S SHIRLINGTON RD
Second Line	:	SUITE 500
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3601
Country	:	US
Telephone Number	:	703-807-0037
Fax Number	:	703-807-0038

Provider Business Practice Location Address
First Line	:	2800 S SHIRLINGTON RD
Second Line	:	SUITE 500
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3601
Country	:	US
Telephone Number	:	703-807-0037
Fax Number	:	703-807-0038

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	09/23/2016

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