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Mr. Kenneth P Rubin, MD
Specialist in Englewood, New Jersey
NPI 1851344618

Kenneth P Rubin is a Specialist based in Englewood, NJ. Kenneth P Rubin practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Kenneth P Rubin is 1851344618 and holds a License No. 25MA04043000 (New Jersey).

The current practice location address for Kenneth P Rubin is 420 Grand Ave, Englewood, NJ and can be reached out via phone at 201-569-7044 and via fax at 201-569-1999.

Location: 420 Grand Ave, Englewood, NJ, 07631-4152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851344618
Provider Name
Kenneth P Rubin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 Grand Ave, Englewood, NJ, 07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1566300 05 NJ
56A411 01 NJ EMPIRE HEALTH PLAN
OK2493 01 NJ HEALTHNET
0062833 01 NJ GHI
60833 01 NJ AETNA US HEALTHCARE
BP377 01 NJ OCFORD HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
420 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999
person
Provider Business Mailing Address Details
Address
420 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA04043000 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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