Healthcare Provider Details

I. General information

NPI: 1770580318
Provider Name (Legal Business Name): DANIEL E GABRIEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3944 WASHINGTON RD
MC MURRAY PA
15317-2537
US

IV. Provider business mailing address

3944 WASHINGTON RD
MC MURRAY PA
15317-2537
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-6556
  • Fax:
Mailing address:
  • Phone: 724-941-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD016746E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: