Individual
STEPHANIE MARIE RUBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD452020
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003057855
BLUE SHIELD
PA
01
—
359536
MEDICARE
PA
Enumeration date
05/19/2009
Last updated
05/12/2017
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