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NPI Code Detail

MEDICARE: DR. MICHAEL IAN SOBEL D.O.

MEDICARE: DR. MICHAEL IAN SOBEL D.O.
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
1207VE0102XReproductive Endocrinology PhysicianOS005768LPA
2207VE0102XReproductive Endocrinology PhysicianOS-005768LPA

General Provider Information

NPI Number : 1982666343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL IAN SOBEL D.O.
Provider Business Mailing Address
First Line : 1245 HIGHLAND AV.
Second Line : SUITE 404
City : ABINGTON
State : PA
Zip : 19001-3725
Country : US
Telephone Number : 215-887-2010
Fax Number : 215-887-3291
Provider Business Practice Location Address
First Line : 1245 HIGHLAND AV.
Second Line : SUITE 404
City : ABINGTON
State : PA
Zip : 19001-3725
Country : US
Telephone Number : 215-887-2010
Fax Number : 215-887-3291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 10/26/2009

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