| NPI | 1184718512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD J RUBENSTEIN Physician 251-675-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty (Licence: AL MD10612) |
| 261QM1300X Clinic/Center Multi-Specialty (Licence: MD10612) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-07-06 |