Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD043063E | PA |
NPI | 1023062874 |
---|---|
Provider Name | Michael Neil Rubenstein |
First Address | Meadowbrook, PA 19046-8004 |
Second Address | Meadowbrook, PA 19046-8004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 25/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E55514 | (02) | PA |