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Individual

DR. MARK ALAN RABIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2375 WOODWARD ST, SUITE 111N, PHILADELPHIA, PA 19115-5120
(215) 676-7080
(215) 676-7802
Mailing address
2375 WOODWARD ST, SUITE 111N, PHILADELPHIA, PA 19115-5120
(215) 676-7080
(215) 676-7802

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001354L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005067180001
PA
Enumeration date
11/08/2005
Last updated
12/25/2007
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