Rubin, Mario Fernando
Rubin, Mario Fernando is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Rubin, Mario Fernando can be contacted via phone (410) 328-5720.Contact Information
Primary practice address
22 S Greene St
Baltimore MD 21201-1544
Phone: (410) 328-5720
Fax: (410) 328-5685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 50101 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50101 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D22617 | Maryland |
Profile Details
| NPI number | 1710935044 |
|---|---|
| LBN Legal business name | Rubin, Mario Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 1st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710935044 | NPPES |
| Maryland | Other | S062-0568 | CAREFIRST BC/BS |
| Maryland | MEDICAID | 214128100 | CAREFIRST BC/BS |
| Maryland | MEDICAID | 6165524 | CAREFIRST BC/BS |
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