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Individual

ANDREW M RABIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
483 CRANBURY ROAD, EAST BRUNSWICK, NJ 08816
(732) 390-0030
(732) 390-5383
Mailing address
579 A CRANBURY ROAD, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
159146
NY
2085R0202X
Diagnostic Radiology Physician
25MA04101000
NJ
2085R0202X
Diagnostic Radiology Physician
35082176
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA04101000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000506346
ANTHEM ID
OH
05
01100352
NY
05
2556112
OH
Enumeration date
10/30/2006
Last updated
09/28/2021
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