Rubenstein, Glenn M

Rubenstein, Glenn M is an individual health care provider with primary practice located at 175 E Chester Pike , Ridley Park PA 19078-2284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rubenstein, Glenn M can be contacted via phone (215) 442-5085.

Contact Information

Primary practice address
175 E Chester Pike Ridley Park PA 19078-2284
Phone: (215) 442-5085
Fax: (877) 329-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD046020L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA08705300 New Jersey

Profile Details

NPI number 1174512495
LBN Legal business name Rubenstein, Glenn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174512495 NPPES
Pennsylvania MEDICAID 001270735
Pennsylvania MEDICAID 0210765
Pennsylvania Other P00739628

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