Individual
MARY C RUBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237646
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002 / -003
TRICARE/CHAMPUS
VA
01
—
08108
BC/BS
NC
05
—
17907040207
—
VA
01
—
2173441
MAMSI
VA
01
—
309045
ANTHEM
VA
01
—
4138999
CIGNA
—
05
—
5908108
—
NC
01
—
73368
SENTARA/OPTIMA
VA
01
—
PAR
VA HEALTH NETWORK
VA
Enumeration date
04/18/2006
Last updated
11/12/2008
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