Provider Demographics
NPI:1467650580
Name:RICHARD GAIBLER FAMILY PRACTICE, P.C.
Entity Type:Organization
Organization Name:RICHARD GAIBLER FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:GAIBLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-997-9910
Mailing Address - Street 1:1600 HORIZON DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-4100
Mailing Address - Country:US
Mailing Address - Phone:215-997-9910
Mailing Address - Fax:215-997-9950
Practice Address - Street 1:1600 HORIZON DR
Practice Address - Street 2:SUITE 105
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-4100
Practice Address - Country:US
Practice Address - Phone:215-997-9910
Practice Address - Fax:215-997-9950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE95413Medicare UPIN