1518306166 NPI number — DR. SAUL HERZL RUBIN M.D.

Table of content: DR. SAUL HERZL RUBIN M.D. (NPI 1518306166)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518306166 NPI number — DR. SAUL HERZL RUBIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUBIN
Provider First Name:
SAUL
Provider Middle Name:
HERZL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518306166
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/06/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 PENN SQUARE EAST, 9TH FL NORTH TOWER
Provider Second Line Business Mailing Address:
CHCA EMERGENCY MED
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19141-3018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-425-9232
Provider Business Mailing Address Fax Number:
267-425-9299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1201 LANGHORNE NEWTOWN RD
Provider Second Line Business Practice Location Address:
CHCA EMERGENCY MED
Provider Business Practice Location Address City Name:
LANGHORNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19047-1201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-710-4760
Provider Business Practice Location Address Fax Number:
215-710-5801
Provider Enumeration Date:
06/17/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  MD458205 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 390200000X , with the licence number: MT203456 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)