Individual
S. BRUCE RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9807 BUSTLETON AVE, PHILADELPHIA, PA 19115-3212
(215) 676-2200
(215) 676-2408
Mailing address
12265 TOWNSEND RD, STE 500, PHILADELPHIA, PA 19154-1201
(215) 856-1009
(215) 856-1020
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD008263E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006988500006
—
PA
01
—
0052712000
KEYSTONE HEALTH PLAN EAST
PA
01
—
016654
PA BLUE SHIELD
PA
01
—
2187811
AETNA US HEALTHCARE
PA
01
—
36624
HEALTH PARTNERS
PA
Enumeration date
08/09/2005
Last updated
05/05/2010
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