MEDICARE: SUNDEE L GABLE

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
1	207R00000X	Internal Medicine Physician	MD069635L	PA

General Provider Information

NPI Number	:	1750386272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNDEE L GABLE

Provider Business Mailing Address
First Line	:	401 ROUTE 73 N STE 320
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3426
Country	:	US
Telephone Number	:	267-518-2070
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 MARYLAND RD STE 220
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1749
Country	:	US
Telephone Number	:	267-518-2070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	02/15/2023

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Directions to “ SUNDEE L GABLE ” Practice Location

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