Individual
LILA MIRIAM RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-1800
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP05225
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2017
Last updated
06/28/2024
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