Provider Demographics
NPI:1689677486
Name:ZABEL, CHRISTINE M (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:ZABEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:450 PARK WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-4202
Mailing Address - Country:US
Mailing Address - Phone:484-422-8080
Mailing Address - Fax:484-422-8073
Practice Address - Street 1:1999 SPROUL RD
Practice Address - Street 2:SUITE 21
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3508
Practice Address - Country:US
Practice Address - Phone:610-353-5840
Practice Address - Fax:610-353-3420
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2011-04-13
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-07-26
Provider Licenses
StateLicense IDTaxonomies
PAOS005647L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2038512001OtherKEYSTONE
PA460674OtherBLUE SHIELD
PA0010200710001Medicaid
PA010552739OtherCIGNA
PA010552739OtherTRICARE
PA080192840OtherRAILROAD MEDICARE
PA138041OtherAETNA
PA010552739OtherUNITED HEALTHCARE
PA010552739OtherUNITED HEALTHCARE