Healthcare Provider Details

I. General information

NPI: 1598025488
Provider Name (Legal Business Name): ANDREW DOUGLAS SOBEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SPRUCE STREET 1 CATHCART
PHILADELPHIA PA
19107-6130
US

IV. Provider business mailing address

800 SPRUCE STREET 1 CATHCART
PHILADELPHIA PA
19107-6130
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-3340
  • Fax: 215-349-5890
Mailing address:
  • Phone: 215-662-3340
  • Fax: 215-349-5890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD468170
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD468170
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: