Individual
JOHN A FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
865 BEAVER DR, DU BOIS, PA 15801-2511
(814) 371-2390
(814) 371-9532
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2390
(814) 371-9532
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD028273E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009047150001
—
PA
01
—
180001336
RAILROAD MEDICARE
PA
Enumeration date
06/07/2006
Last updated
04/27/2016
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