Provider Demographics
NPI:1003857616
Name:RUBIN, DAVID SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:618 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-4068
Mailing Address - Country:US
Mailing Address - Phone:203-852-9525
Mailing Address - Fax:203-854-0371
Practice Address - Street 1:618 WEST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-4068
Practice Address - Country:US
Practice Address - Phone:203-852-9525
Practice Address - Fax:203-854-0371
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT33895207RI0200X
NY158805207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA64824Medicare UPIN