Organization
BARRY P RUBINO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY P RUBINO MD (PRESIDENT)
(732) 229-9417
Entity
Organization
Contact information
Practice address
170 MORRIS AVE STE C, LONG BRANCH, NJ 07740-6660
(732) 229-9417
(732) 229-0151
Mailing address
170 MORRIS AVE STE C, LONG BRANCH, NJ 07740-6660
(732) 229-9417
(732) 229-0151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04682700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364707
MCARE
PA
01
—
17L831
EMPIRE BLUE SHIELD WELLCH
NJ
05
—
5094900
—
NJ
Enumeration date
02/02/2006
Last updated
12/07/2020
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