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NPI Code Detail

MEDICARE: DR. CLIFFORD B RUBIN DO

MEDICARE: DR. CLIFFORD B RUBIN DO
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
1207R00000XInternal Medicine Physician2010ME
2208M00000XHospitalist Physician2010ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942375225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLIFFORD B RUBIN DO
Provider Business Mailing Address
First Line : 39 WALLACE AVE
Second Line :
City : SO PORTLAND
State : ME
Zip : 04106
Country : US
Telephone Number : 207-761-0650
Fax Number : 207-761-8198
Provider Business Practice Location Address
First Line : 2 INDEPENDENCE DR
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-6078
Country : US
Telephone Number : 207-303-3300
Fax Number : 207-250-2144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 10/03/2025

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Directions to “ DR. CLIFFORD B RUBIN DO” Practice Location

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