Basic Information
Provider Information
NPI: 1902895477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NALDA
FirstName: RUBEN
MiddleName: H.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HYGEIA DRIVE
Address2: SUITE 2502
City: NEWARK
State: DE
PostalCode: 197132049
CountryCode: US
TelephoneNumber: 3026237362
FaxNumber: 3026237374
Practice Location
Address1: 200 HYGEIA DRIVE
Address2: SUITE 2100
City: NEWARK
State: DE
PostalCode: 197132049
CountryCode: US
TelephoneNumber: 3026230188
FaxNumber: 3026230117
Other Information
ProviderEnumerationDate: 10/18/2005
LastUpdateDate: 03/19/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X31049KSN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XC1-0009256DEY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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