Basic Information
Provider Information
NPI: 1477524007
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RUBENSTEIN
FirstName: DAVID
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 925 CHESTNUT ST
Address2: 5TH FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191074216
CountryCode: US
TelephoneNumber: 8003219999
FaxNumber: 2155030580
Practice Location
Address1: 100 E LANCASTER AVE
Address2: SUITE 456 EAST
City: WYNNEWOOD
State: PA
PostalCode: 190963450
CountryCode: US
TelephoneNumber: 6109222112
FaxNumber: 4844128497
Other Information
ProviderEnumerationDate: 01/31/2006
LastUpdateDate: 11/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD033960EPAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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