Provider Demographics
NPI:1508852005
Name:EMIL R. SZABO MD PC
Entity Type:Organization
Organization Name:EMIL R. SZABO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SZABO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-272-5511
Mailing Address - Street 1:251 EASTERLY PKWY
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-6301
Mailing Address - Country:US
Mailing Address - Phone:814-272-5511
Mailing Address - Fax:814-272-5510
Practice Address - Street 1:251 EASTERLY PKWY
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-6301
Practice Address - Country:US
Practice Address - Phone:814-272-5511
Practice Address - Fax:814-272-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018019E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006925330004Medicaid
336239Medicare UPIN
PA0006925330004Medicaid
PA076823Medicare PIN