Individual
MARC KEVIN RUBENZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
233 S 10TH ST, SUITE 450, PHILADELPHIA, PA 19107-5541
(215) 503-5785
Mailing address
393 E WALNUT STREET, PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FLOOR, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A114347
CA
Other
Enumeration date
06/01/2007
Last updated
10/16/2021
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