Provider Demographics
NPI:1285633016
Name:RUBIN, RENE R (MD)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:R
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 EXPEDITION TRL STE 101
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8599
Mailing Address - Country:US
Mailing Address - Phone:717-334-4033
Mailing Address - Fax:717-334-5599
Practice Address - Street 1:207 N BROAD ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1500
Practice Address - Country:US
Practice Address - Phone:215-561-0809
Practice Address - Fax:215-561-0828
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAM0031135E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001004390-0016Medicaid
PA001004390-0019Medicaid
PA001004390-0011Medicaid
PA001004390-0018Medicaid
PA001004390-0022Medicaid
PA001004390-0020Medicaid
PA001004390-0017Medicaid
PA001004390-0021Medicaid
PA01947477Medicaid