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NPI Code Detail

MEDICARE: MATTHEW JAMES SABO DPM

MEDICARE:   MATTHEW JAMES SABO  DPM
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
1213E00000XPodiatristSC0047421PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4251561562OTHERPARR MEDICARE PROVIDER#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000205717OTHERPAANTHEM PROVIDER#
213914OTHERPAELDER HEALTH PROVIDER#
3251561562OTHERPAGROUP#
556407OTHERPAUNISON GROUP PROVIDER#
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7132077OTHERPAUNISON INDIVIDUAL #
81390124OTHERPAINDIVIDUAL PROVIDER#
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10188543OTHERPAGROUP PROVIDER#
1178203OTHERPAAETNA GROUP PROVIDER#
127955556OTHERPAAETNA INDIVIDUAL PROV #
13827OTHERPAHEALTH AMERICA GROUP#
14318279OTHERPAUPMC INDIVIDUAL PROVIDER#
15200065OTHERPAHEALTH AMERICA INDIVID#

General Provider Information

NPI Number : 1447218706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW JAMES SABO DPM
Provider Business Mailing Address
First Line : 176 MEDICAL CENTER RD
Second Line :
City : CHICORA
State : PA
Zip : 16025-2612
Country : US
Telephone Number : 724-445-3053
Fax Number : 724-445-3053
Provider Business Practice Location Address
First Line : 176 MEDICAL CENTER RD
Second Line :
City : CHICORA
State : PA
Zip : 16025-2612
Country : US
Telephone Number : 724-445-3053
Fax Number : 724-455-3053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/07/2008

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Directions to “ MATTHEW JAMES SABO DPM” Practice Location

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