Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD035934E | PA |
NPI | 1174586689 |
---|---|
Provider Name | Craig A Sabre |
First Address | Nazareth, PA 18064-2155 |
Second Address | Nazareth, PA 18064-2155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 27/07/2007 |