Provider Demographics
NPI:1699705020
Name:RUBINETTI, MARK J (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:RUBINETTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20 COMMERCE BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1348
Mailing Address - Country:US
Mailing Address - Phone:972-927-2888
Mailing Address - Fax:973-927-2808
Practice Address - Street 1:20 COMMERCE BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1348
Practice Address - Country:US
Practice Address - Phone:973-927-2888
Practice Address - Fax:973-927-2808
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2025-02-07
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05505500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3445801Medicaid
NJ3445801Medicaid
E55150Medicare UPIN