MEDICARE: PHILIP N RABIN DDS PA

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	1223G0001X	General Practice Dentistry	7316	NJ

General Provider Information

NPI Number	:	1801931340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILIP N RABIN DDS PA

Provider Business Mailing Address
First Line	:	12 S HOLMDEL RD # 383
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-2130
Country	:	US
Telephone Number	:	732-946-4644
Fax Number	:	732-946-2546

Provider Business Practice Location Address
First Line	:	12 S HOLMDEL RD # 383
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-2130
Country	:	US
Telephone Number	:	732-946-4644
Fax Number	:	732-946-2546

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PHILIP N RABIN
Credential	:	DDS
Telephone Number	:	732-946-4644

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

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