DR. MARK RABIN (NPI# 1487868550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487868550 |
| Entity Type | Individual |
| Full Name | DR. MARK RABIN |
| Credential | PHD FACMG |
| Practice Address |
Dianon Systems 200 Watson Boulevard Stratford CT 06615 |
| Mailing Address |
30 Copper Beech Dr Cheshire CT 06410-2953 |
| Practice Telephone | 2033804124 |
| Mailing Telephone | 2033145046 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | CQP33537 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447499231 | Mark Rabin | Dentist | 575 Avignon Court, Atlanta, GA 30350 | 2009-02-18 |
| 1457332405 | Mark Alan Rabin | Podiatrist | 2375 Woodward St, Suite 111n, Philadelphia, PA 19115-5120 | 2005-11-08 |
| Street Address |
DIANON SYSTEMS 200 WATSON BOULEVARD |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| 1518017094 | Stratford Board of Education | Local Education Agency (LEA) | 1000 East Broadway, Stratford, CT 06615 | 2007-01-10 |
| Find all providers in zip 06615 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306054838 | Navnit S. Mitter | Medical Genetics, Ph.D. Medical Genetics | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-05-18 |
| 1942418355 | Paula K Berry | Medical Genetics, Ph.D. Medical Genetics | 200 Watson Blvd, Stratford, CT 06615-7127 | 2007-05-18 |
| 1104998814 | Michael Kevin Mccormack | Medical Genetics, Ph.D. Medical Genetics | 42 E Laurel Rd, Suite 3600, Stratford, NJ 08084-1354 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235196601 | Peter Alan Benn | Medical Genetics, Ph.D. Medical Genetics | 38 Metacomet Rd, Farmington, CT 06032-1801 | 2006-04-28 |
| 1134486848 | Xia Li | Medical Genetics, Ph.D. Medical Genetics | 1 Greenwich Pl, Shelton, CT 06484-7603 | 2012-04-19 |
| 1942539325 | Steven L Gersen | Medical Genetics, Ph.D. Medical Genetics | 1 Greenwich Pl, Shelton, CT 06484-7603 | 2009-12-15 |
| 1841440047 | Chandrika Sreekantaiah | Medical Genetics, Ph.D. Medical Genetics | 1 Forest Pkwy, Shelton, CT 06484-6147 | 2008-09-24 |
| 1467472787 | Susan K Bowers | Medical Genetics, Ph.D. Medical Genetics | 345 Whitney Ave, New Haven, CT 06511-2348 | 2006-07-20 |
| 1184618381 | Francis Vannostrand | Medical Genetics, Ph.D. Medical Genetics | 47 E Main St, Stafford Springs, CT 06076-1227 | 2005-09-02 |
| 1447244645 | Alfredo A Arbulu | Medical Genetics, Ph.D. Medical Genetics | 15 Palomba Dr, Enfield, CT 06082-3888 | 2005-09-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.