Glenn M Rubenstein, MD | |
175 E Chester Pike, Ridley Park, PA 19078-2284 | |
(215) 442-5085 | |
(877) 329-2370 |
Full Name | Glenn M Rubenstein |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 175 E Chester Pike, Ridley Park, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174512495 | NPI | - | NPPES |
001270735 | Medicaid | PA | |
0210765 | Medicaid | NJ | |
P00739628 | Other | PA | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD046020L (Pennsylvania) | Primary |
207L00000X | Anesthesiology | 25MA08705300 (New Jersey) | Secondary |
Entity Name | Sheridan Healthcorp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Anesthesiology Consultants Of The Palm Beaches Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720013287 PECOS PAC ID: 7315840170 Enrollment ID: O20040129000285 |
Entity Name | Greater Florida Anesthesiologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
Entity Name | Gi Alliance Anesthesia Of Florida Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053030619 PECOS PAC ID: 3476927203 Enrollment ID: O20230318000105 |
Mailing Address | Practice Location Address |
---|---|
Glenn M Rubenstein, MD Po Box 650782, Dallas, TX 75265-0782 Ph: (302) 733-0806 | Glenn M Rubenstein, MD 175 E Chester Pike, Ridley Park, PA 19078-2284 Ph: (215) 442-5085 |