Provider Demographics
NPI:1649269838
Name:RABIN, MARINA A (MD)
Entity type:Individual
Prefix:DR
First Name:MARINA
Middle Name:A
Last Name:RABIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2100 DORCHESTER AVE
Mailing Address - Street 2:MEDICAL OFFICE BUILDING SUITE 104
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-5615
Mailing Address - Country:US
Mailing Address - Phone:617-296-4239
Mailing Address - Fax:617-296-5778
Practice Address - Street 1:2100 DORCHESTER AVE
Practice Address - Street 2:MEDICAL OFFICE BUILDING SUITE 104
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-5615
Practice Address - Country:US
Practice Address - Phone:617-296-4239
Practice Address - Fax:617-296-5778
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2012-03-02
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Provider Licenses
StateLicense IDTaxonomies
MA150311207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110057721AMedicaid
MA3158179Medicaid
G33837Medicare UPIN
MA110057721AMedicaid