Provider Demographics
NPI:1104850023
Name:GABRIEL MEDICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:GABRIEL MEDICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:724-941-6556
Mailing Address - Street 1:3944 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2537
Mailing Address - Country:US
Mailing Address - Phone:724-941-6556
Mailing Address - Fax:724-942-3807
Practice Address - Street 1:3944 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2537
Practice Address - Country:US
Practice Address - Phone:724-941-6556
Practice Address - Fax:724-942-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016746E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA138496Medicare PIN
PAE55781Medicare UPIN