Provider Demographics
NPI:1225018708
Name:GABRIEL, NORMAN A (PT)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:A
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 N MILL ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3610
Mailing Address - Country:US
Mailing Address - Phone:724-654-2444
Mailing Address - Fax:724-656-1265
Practice Address - Street 1:8 N MILL ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3610
Practice Address - Country:US
Practice Address - Phone:724-654-2444
Practice Address - Fax:724-656-1265
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA-007089-L2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014792680001Medicaid
PA620883OtherHIGHMARK BLUE SHIELD
PA0014792680001Medicaid
PA020750Medicare ID - Type Unspecified