Doctor Name: | DR. MARK I RUBINSTEIN |
NPI Number: | 1003871971 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101043630 |
Business Practice Address: | 8316 Arlington Blvd Suite 300 Fairfax, VA - 220315207 |
Business Phone Number: | 7035737600 |
Business Fax Number: | 7035603808 |
Mailing Address: | 8316 Arlington Blvd, Suite 300 FAIRFAX |
State: | VA |
Postal Code: | 220315207 |
Phone Number: | 7035737600 |
Fax Number: | 7035603808 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 06/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | 0101043630 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |