Provider Demographics
NPI:1578884045
Name:CABALBAG, GAYLE
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:
Last Name:CABALBAG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 S. CEDAR CREST BLVD STE 410
Mailing Address - Street 2:LEHIGH VALLEY HEALTH NETWORK - DOM, PO BOX 689
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105
Mailing Address - Country:US
Mailing Address - Phone:610-402-5200
Mailing Address - Fax:610-402-1675
Practice Address - Street 1:1240 S. CEDAR CREST BLVD STE 410
Practice Address - Street 2:LEHIGH VALLEY HEALTH NETWORK
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18105
Practice Address - Country:US
Practice Address - Phone:610-402-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT013481207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine