Individual
DR. MARIO FERNANDO RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5720
(410) 328-5685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5720
(410) 328-5685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50101
MA
207RN0300X
Nephrology Physician
50101
MA
207RN0300X
Nephrology Physician
Primary
D22617
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214128100
—
MD
05
—
6165524
—
MA
01
—
S062-0568
CAREFIRST BC/BS
MD
Enumeration date
05/05/2006
Last updated
04/01/2015
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