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Individual

DIANE RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1080 N DELAWARE AVE STE 300D, PHILADELPHIA, PA 19125-4335
(413) 658-7105
Mailing address
5905 MCCALLUM ST, PHILADELPHIA, PA 19144-2709
(413) 658-7105

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN716633
PA
363LF0000X
Family Nurse Practitioner
Primary
SP032533
PA

Other

Enumeration date
06/15/2021
Last updated
04/17/2025
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