Individual
HERBERT CHARLES RUBRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 UNIVERSITY DRIVE, SCHUYLKILL HAVEN, PA 17972-2212
(570) 385-0331
(570) 385-1007
Mailing address
142 JAMES STREET, KASKA, PA 17959-1253
(570) 277-0329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD022606E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD022606E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010656720007
—
PA
01
—
01665101
CAPITAL BLUE CROSS PROVID
PA
01
—
017308400
FEDERAL BLACK LUNG
PA
01
—
02616500
CAPITAL BLUE CROSS GROUP
PA
01
—
080085836
PALMETTO GBA MEDICARE RR
PA
01
—
159845
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/29/2006
Last updated
12/02/2024
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