Provider Demographics
NPI:1518306166
Name:RUBIN, SAUL HERZL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:HERZL
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 PENN SQUARE EAST, 9TH FL NORTH TOWER
Mailing Address - Street 2:CHCA EMERGENCY MED
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:1201 LANGHORNE NEWTOWN RD
Practice Address - Street 2:CHCA EMERGENCY MED
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1201
Practice Address - Country:US
Practice Address - Phone:215-710-4760
Practice Address - Fax:215-710-5801
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD458205208000000X
PAMT203456390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program