Provider Demographics
NPI:1457355927
Name:RUBMAN, MARC HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:HENRY
Last Name:RUBMAN
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 1:50 CHERRY HILL RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-263-2828
Mailing Address - Fax:
Practice Address - Street 1:50 CHERRY HILL RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-263-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-12
Last Update Date:2007-07-08
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-30
Provider Licenses
StateLicense IDTaxonomies
NJMA64517207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F76274Medicare UPIN