Provider Demographics
NPI:1548697329
Name:RUBENSTEIN, LEONARD (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:RUBENSTEIN
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 1:101 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1126
Mailing Address - Country:US
Mailing Address - Phone:724-693-0455
Mailing Address - Fax:
Practice Address - Street 1:101 CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:PRESTO
Practice Address - State:PA
Practice Address - Zip Code:15142-1126
Practice Address - Country:US
Practice Address - Phone:724-693-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMDO27912L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine