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NPI Code Detail

MEDICARE: DR. JEFFREY WARREN RUBMAN M.D.

MEDICARE:  DR. JEFFREY WARREN RUBMAN  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
1207R00000XInternal Medicine Physician0420004965VT

Other Identifiers

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

General Provider Information

NPI Number : 1972536183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY WARREN RUBMAN M.D.
Provider Business Mailing Address
First Line : 1205 NORTH AVENUE
Second Line :
City : BURLINGTON
State : VT
Zip : 05408
Country : US
Telephone Number : 802-863-1313
Fax Number : 802-863-2396
Provider Business Practice Location Address
First Line : 1205 NORTH AVENUE
Second Line :
City : BURLINGTON
State : VT
Zip : 05408
Country : US
Telephone Number : 802-863-1313
Fax Number : 802-863-2396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY WARREN RUBMAN M.D.” Practice Location

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