Individual
DR. CARL S RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4021
Mailing address
4 NESHAMINY INTERPLEX, SUITE 209, TREVOSE, PA 19053-6940
(215) 244-3070
(215) 638-9041
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MB02752300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
OS003047L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000641258-0004
—
PA
01
—
0046756000
IBC
PA
01
—
00641258
AMERICHOICE OF PA
PA
05
—
0108537
—
NJ
01
—
03142OS003047L
HEALTH PARTNERS
PA
01
—
051705
HIGHMARK BLUE SHIELD
PA
01
—
1030295
KEYSTONE MERCY
PA
01
—
120724
PHCS
PA
01
—
20045222
AMERIHEALTH MERCY
PA
01
—
PA7584
HEALTH NET
PA
Enumeration date
01/26/2006
Last updated
02/29/2008
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