Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE DAWN RUBACKIN-HAYWARD, DPM
Active Sole ProprietorDR. NICOLE DAWN RUBACKIN-HAYWARD, DPM is a Radiology Podiatrist healthcare provider located in GLEN ROCK, New Jersey. NPI 1316176068 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · GLEN ROCK, NJ
Registration Details
- NPI Number
- 1316176068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2009 (17.145172986392 yrs)
- Last Updated
- Jul 2, 2009
- License
-
25MD00298400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
159 MARLBORO RDGLEN ROCK, NJ, 074521902Browse NJ providers · Browse ZIP 07452
- Phone
- 2018574467
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.