Provider Demographics
NPI:1104845619
Name:RUBENSTEIN, HARVEY (MD)
Entity Type:Individual
Prefix:
First Name:HARVEY
Middle Name:
Last Name:RUBENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 JONES BRANCH DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3306
Mailing Address - Country:US
Mailing Address - Phone:703-448-6010
Mailing Address - Fax:703-790-0955
Practice Address - Street 1:7921 JONES BRANCH DR
Practice Address - Street 2:SUITE 320
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3306
Practice Address - Country:US
Practice Address - Phone:703-448-6010
Practice Address - Fax:703-790-0955
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101024129174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1382-001OtherBCBSNCA
VA790664OtherUNITED,MAMSI,ALLIANCE
VA047872OtherANTHEM
VA047872OtherANTHEM
VA1382-001OtherBCBSNCA