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Individual

MARC S RUBENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 CHASE WAY, MANCHESTER, NH 03104-1717
(603) 644-7936
Mailing address
125 CHASE WAY, MANCHESTER, NH 03104-1717
(603) 644-7936

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7332
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106318Y0NH01
ANTHEM
NH
05
30001527
NH
01
930
CIGNA NH
NH
01
PMA336
HARVARD PILGRIM
NH
Enumeration date
03/28/2006
Last updated
09/26/2012
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