Lowell J. Rubin, M.D.

Individual provider Active NPI Psychiatry Physician · Providence, RI

NPI 1336345321 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1336345321
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
05371 M.D. (RI)
Practice address
85 Power St
Providence, RI 02906-1013
Phone
(401) 861-2020
Fax
(401) 274-6511
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05371 M.D.RIMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 05371 M.D. RI Yes

Addresses

Primary practice location

85 Power St
Providence, RI 02906-1013

Mailing address

85 Power St
Providence, RI 02906-1013
Phone (401) 861-2020

Other providers in Providence, RI

All providers in Providence, RI · Psychiatry Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.