Marc Kevin Rubenzik, MD PHD | |
233 S 10th St, Suite 450, Philadelphia, PA 19107-5541 | |
(215) 503-5785 | |
Not Available |
Full Name | Marc Kevin Rubenzik |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 18 Years |
Location | 233 S 10th St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326240557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | A114347 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Marc Kevin Rubenzik, MD PHD 393 E Walnut Street, Phr Group Provider Enrollment Unit 3rd Floor, Pasadena, CA 91188-0001 Ph: (877) 608-0044 | Marc Kevin Rubenzik, MD PHD 233 S 10th St, Suite 450, Philadelphia, PA 19107-5541 Ph: (215) 503-5785 |
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