Provider Demographics
NPI:1710327937
Name:GABLE, MEREDITH EILEEN (DO)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:EILEEN
Last Name:GABLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:LAMANNA
Other - Last Name:GABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2500 BERNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-9453
Mailing Address - Country:US
Mailing Address - Phone:610-779-1330
Mailing Address - Fax:610-779-7699
Practice Address - Street 1:410 EAST PENN AVENUE
Practice Address - Street 2:
Practice Address - City:ROBESONIA
Practice Address - State:PA
Practice Address - Zip Code:19551-9014
Practice Address - Country:US
Practice Address - Phone:484-987-3456
Practice Address - Fax:610-743-3143
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018308207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine