Healthcare Provider Details

I. General information

NPI: 1093710949
Provider Name (Legal Business Name): AARON RABIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PALISADE AVENUE
ENGLEWOOD CLIFFS NJ
07632
US

IV. Provider business mailing address

700 PALISADE AVENUE
ENGLEWOOD CLIFFS NJ
07632
US

V. Phone/Fax

Practice location:
  • Phone: 201-568-3412
  • Fax:
Mailing address:
  • Phone: 201-568-3412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA38327
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: