Individual
GLENN M RUBENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2284
(215) 442-5085
(877) 329-2370
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0806
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08705300
NJ
207L00000X
Anesthesiology Physician
MD046020L
PA
207L00000X
Anesthesiology Physician
Primary
ME113047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001270735
—
PA
05
—
0210765
—
NJ
01
—
P00739628
RAILROAD MEDICARE PTAN
PA
Enumeration date
10/19/2005
Last updated
08/22/2025
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