Andrew Fabian, M.D.

Individual provider Active NPI Family Medicine Physician · Sunbury, PA

NPI 1477520674 · NPPES record last updated Mar 29, 2014

Key facts

NPI
1477520674
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD039560L (PA)
Practice address
330 N. 12TH St.
Community Health Services
Sunbury, PA 17867
Phone
(570) 286-0303
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039560L PA Yes

Addresses

Primary practice location

330 N. 12TH St.
Community Health Services
Sunbury, PA 17867

Mailing address

389 King St
Northumberland, PA 17857-1554

Other identifiers

IdentifierTypeStateIssuer
001151387MedicaidPA

Other providers in Sunbury, PA

All providers in Sunbury, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.