Healthcare Provider Details

I. General information

NPI: 1912048794
Provider Name (Legal Business Name): JOHN M ABER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 POST AVE
NEW STANTON PA
15672
US

IV. Provider business mailing address

PO BOX 749
NEW STANTON PA
15672-0749
US

V. Phone/Fax

Practice location:
  • Phone: 724-925-2577
  • Fax: 724-925-2029
Mailing address:
  • Phone: 724-925-2577
  • Fax: 724-925-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD010308E
License Number StatePA

VIII. Authorized Official

Name: DR. JOHN M ABER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 724-925-2577