Provider Demographics
NPI:1053561530
Name:RUBINSTEIN, MORTON FREDERIC (MD)
Entity type:Individual
Prefix:DR
First Name:MORTON
Middle Name:FREDERIC
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 WELLFLEET RD
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-4429
Mailing Address - Country:US
Mailing Address - Phone:856-829-5063
Mailing Address - Fax:
Practice Address - Street 1:602 WELLFLEET RD
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-4429
Practice Address - Country:US
Practice Address - Phone:856-829-5063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02088800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics