MEDICARE: BARRY 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	237700000X	Hearing Instrument Specialist	02327	MD

General Provider Information

NPI Number	:	1700122611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY RUBIN

Provider Business Mailing Address
First Line	:	7106 CUNNING CIR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21220-1251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 SECURITY BLVD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21244-2412
Country	:	US
Telephone Number	:	410-944-6479
Fax Number	:

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

Provider Enumeration Date	:	12/20/2012
Last Update Date	:	12/20/2012

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Directions to “ BARRY RUBIN ” Practice Location

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