MEDICARE: JOSHUA RUBIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD042783L	PA

General Provider Information

NPI Number	:	1285609289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA RUBIN

Provider Business Mailing Address
First Line	:	5150 CENTRE AVE
Second Line	:	ROOM 460
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 CENTRE AVE
Second Line	:	ROOM 460
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1309
Country	:	US
Telephone Number	:	412-648-6753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	03/25/2021

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