MEDICARE: DEBRA M FABER M.D.

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	208000000X	Pediatrics Physician	MD066527L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568461952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA M FABER M.D.

Provider Business Mailing Address
First Line	:	1580 MCLAUGHLIN RUN RD
Second Line	:	PINE BRIDGE COMMONS, SUITE 208
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-3100
Country	:	US
Telephone Number	:	412-221-2121
Fax Number	:	412-221-7224

Provider Business Practice Location Address
First Line	:	1580 MCLAUGHLIN RUN RD
Second Line	:	PINE BRIDGE COMMONS, SUITE 208
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-3100
Country	:	US
Telephone Number	:	412-221-2121
Fax Number	:	412-221-7224

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	10/02/2020

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Directions to “ DEBRA M FABER M.D.” Practice Location

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