Provider Demographics
NPI:1760439996
Name:DABEZIES, MARTA A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:A
Last Name:DABEZIES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 RYDAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1711
Mailing Address - Country:US
Mailing Address - Phone:267-620-1100
Mailing Address - Fax:215-572-1279
Practice Address - Street 1:1095 RYDAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1711
Practice Address - Country:US
Practice Address - Phone:267-620-1100
Practice Address - Fax:215-572-1279
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD24854E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231937219OtherDEVON
PA231937219OtherMULIPLAN
PA000065251OtherAMERIHEALTH
PA000065251OtherHIGHMARK BLUE SHIELD
PA1423601004OtherCIGNA
PA231937219OtherFIRST HEALTH
PA1086166OtherKEYSTONE MERCY
PAP1122257OtherOXFORD
PA09647500006Medicaid
PA14617OtherHEALTH PARTNERS
PW231937219OtherTRICARE
PA000065251OtherPERSONAL CHOICE
PA0045515000OtherKEYSTONE
PA100012733OtherPALMETTO GBA
PA4202816OtherAETNA
PA065251Medicare ID - Type UnspecifiedMEDICARE