Doctor Name: | MR. ALFRED DEAN RUBINO |
NPI Number: | 1114297058 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ANP-BC |
License Number: | 004889 |
Business Practice Address: | 500 Enterprise Dr Rocky Hill, CT - 060673913 |
Business Phone Number: | 8608585089 |
Business Fax Number: | |
Mailing Address: | 24 Jonathan Dr, ELLINGTON |
State: | CT |
Postal Code: | 060293885 |
Phone Number: | 8608585089 |
Fax Number: | 8608585089 |
NPI Enumeration Date: | 01/10/2012 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 004889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |