Provider Demographics
NPI:1346240801
Name:DABB, RICHARD WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WILLIAM
Last Name:DABB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MONUMENT RD
Mailing Address - Street 2:STE 292
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5060
Mailing Address - Country:US
Mailing Address - Phone:717-741-4746
Mailing Address - Fax:717-741-5666
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:STE 292
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-741-4746
Practice Address - Fax:717-741-5666
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012463E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
02899000OtherCAPITAL BLUE CROSS
770489OtherHIGHMARK BS
770489OtherHIGHMARK BS
02899000OtherCAPITAL BLUE CROSS