Provider Demographics
NPI:1780794339
Name:STEVEN A GABRIEL M D P C
Entity type:Organization
Organization Name:STEVEN A GABRIEL M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-656-0826
Mailing Address - Street 1:29 E NORTH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3724
Mailing Address - Country:US
Mailing Address - Phone:724-656-0826
Mailing Address - Fax:724-658-4709
Practice Address - Street 1:29 E NORTH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3724
Practice Address - Country:US
Practice Address - Phone:724-656-0826
Practice Address - Fax:724-658-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000905650002Medicaid
P00017578OtherRAILROAD MEDICARE
PA045150Medicare ID - Type Unspecified
PA000905650002Medicaid