Provider Demographics
NPI:1306146014
Name:RABINOWITZ, MARK S
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:S
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 OLD DUBLIN PIKE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2491
Mailing Address - Country:US
Mailing Address - Phone:215-622-2035
Mailing Address - Fax:215-622-2022
Practice Address - Street 1:73 OLD DUBLIN PIKE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2491
Practice Address - Country:US
Practice Address - Phone:215-622-2035
Practice Address - Fax:215-622-2022
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029629L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist