Provider Demographics
NPI:1750445680
Name:RABIN, MARCIE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIE
Middle Name:LYNN
Last Name:RABIN
Suffix:
Gender:F
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:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 BEAUVOIR AVE
Practice Address - Street 2:OVERLOOK MEDICAL CENTER --DEPT OF NEUROLOGY
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07902
Practice Address - Country:US
Practice Address - Phone:908-522-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0490112084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology