Provider Demographics
NPI:1982666343
Name:SOBEL, MICHAEL IAN (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:IAN
Last Name:SOBEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1245 HIGHLAND AV.
Mailing Address - Street 2:SUITE 404
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3725
Mailing Address - Country:US
Mailing Address - Phone:215-887-2010
Mailing Address - Fax:215-887-3291
Practice Address - Street 1:1245 HIGHLAND AV.
Practice Address - Street 2:SUITE 404
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3725
Practice Address - Country:US
Practice Address - Phone:215-887-2010
Practice Address - Fax:215-887-3291
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005768L207VE0102X
PAOS-005768L207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE65438Medicare UPIN