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1326240557
MARC KEVIN RUBENZIK
PHILADELPHIA, PA
NPI
1326240557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: CA A114347)
Enumeration Date
2007-06-01
Last Update Date
2021-10-16
Business Address
MARC KEVIN RUBENZIK M.D. Ph.D.
233 S 10TH ST SUITE 450
PHILADELPHIA, PA 19107-5541
Phone number: 215-503-5785
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Mailing Address
MARC KEVIN RUBENZIK M.D. Ph.D.
393 E WALNUT STREET PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FLOOR
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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