Individual ProviderAlexander Sass RubinAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address6611 Hunter Trail Way, Frederick, MD 21702-2986(301) 698-2438(301) 788-0713PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Sass Rubin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023064219Provider TypeIndividualFull NameRubin, Alexander SassCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date5/26/2006Last Updated12/23/2013Contact InformationPractice LocationPractice Address6611 Hunter Trail Way, Frederick, MD 21702-2986Phone(301) 698-2438FaxUnlisted FaxMailing LocationMailing Address6611 Hunter Trail Way, Frederick, MD 21702-2986Phone(301) 788-0713FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseE42244MarylandProvider IdentifiersIDDescriptionIssuerID601285800DescriptionOtherIssuerFECAID328171000DescriptionMedicaidIssuerUnlistedMaryland