Provider Demographics
NPI:1669554978
Name:RUBIN, JOYCE RACHEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:RACHEL
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:801 SPRUCE STREET
Mailing Address - Street 2:SUITE 3E
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5701
Mailing Address - Country:US
Mailing Address - Phone:215-829-8484
Mailing Address - Fax:215-829-8441
Practice Address - Street 1:801 SPRUCE ST
Practice Address - Street 2:SPRUCE BUILDING, SUITE 3E
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5701
Practice Address - Country:US
Practice Address - Phone:215-829-8484
Practice Address - Fax:215-271-8441
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2012-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 027766 E207R00000X
PAMD027766E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARU 063547Medicare PIN
PAC 28676Medicare UPIN
PA063547Medicare PIN