Provider Demographics
NPI:1396891560
Name:GARBEIL, PATTI B (DO)
Entity type:Individual
Prefix:
First Name:PATTI
Middle Name:B
Last Name:GARBEIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 LENAPE LN
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5608
Mailing Address - Country:US
Mailing Address - Phone:215-493-1150
Mailing Address - Fax:
Practice Address - Street 1:407 LENAPE LN
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5608
Practice Address - Country:US
Practice Address - Phone:215-493-1150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004610L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD77404Medicare UPIN
PA0832680Medicare ID - Type Unspecified