Provider Demographics
NPI:1912048794
Name:JOHN M ABER MD PC
Entity Type:Organization
Organization Name:JOHN M ABER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-925-2577
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:NEW STANTON
Mailing Address - State:PA
Mailing Address - Zip Code:15672-0749
Mailing Address - Country:US
Mailing Address - Phone:724-925-2577
Mailing Address - Fax:724-925-2029
Practice Address - Street 1:150 POST AVE
Practice Address - Street 2:
Practice Address - City:NEW STANTON
Practice Address - State:PA
Practice Address - Zip Code:15672
Practice Address - Country:US
Practice Address - Phone:724-925-2577
Practice Address - Fax:724-925-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD010308E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA093860Medicare ID - Type UnspecifiedMEDICARE GROUP
PAC27465Medicare UPIN