Provider Demographics
NPI:1932301801
Name:RUBINO, MATTHEW S (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:S
Last Name:RUBINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-737-4990
Mailing Address - Fax:302-737-5082
Practice Address - Street 1:501 W 14TH ST
Practice Address - Street 2:SUITE 4N54B
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-320-4413
Practice Address - Fax:302-320-6403
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0009921208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1932301801Medicaid
PA1028910000001Medicaid
MD602402500Medicaid
DE144677500OtherDEPARTMENT OF LABOR