Individual
DR. MARC STUART RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 ENDICOTT ST, SUITE 200, DANVERS, MA 01923-3623
(978) 882-6868
(978) 882-6855
Mailing address
104 ENDICOTT ST, SUITE 200, DANVERS, MA 01923-3623
(978) 882-6868
(978) 882-6855
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
71054
MA
2086S0102X
Surgical Critical Care Physician
71054
MA
2086S0120X
Pediatric Surgery Physician
71054
MA
2086S0127X
Trauma Surgery Physician
71054
MA
2086X0206X
Surgical Oncology Physician
71054
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
71054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042530297
COMMERICAL
MA
01
—
071054
TUFTS
MA
05
—
3075982
—
MA
01
—
RUJ30011
BLUE CROSS
MA
Enumeration date
03/24/2006
Last updated
05/18/2012
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