Healthcare Provider Details

I. General information

NPI: 1689677486
Provider Name (Legal Business Name): CHRISTINE M ZABEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date: 03/24/2006
Reactivation Date: 07/26/2006

III. Provider practice location address

1999 SPROUL RD SUITE 21
BROOMALL PA
19008-3508
US

IV. Provider business mailing address

450 PARK WAY SUITE 300
BROOMALL PA
19008-4202
US

V. Phone/Fax

Practice location:
  • Phone: 610-353-5840
  • Fax: 610-353-3420
Mailing address:
  • Phone: 484-422-8080
  • Fax: 484-422-8073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS005647L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: