Individual
MARK L STABILE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
149 E MAIN ST, BOX 1117, ANDOVER, OH 44003-9479
(440) 293-5555
(440) 293-6643
Mailing address
149 E MAIN ST, BOX 1117, ANDOVER, OH 44003-9479
(440) 293-5555
(440) 293-6643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008591
OH
207Q00000X
Family Medicine Physician
OS012755
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1759651
HIGHMARK BCBS- PA LOCATIO
PA
01
—
1760675
HIGHMARK BCBS-OH LOCATION
PA
05
—
2641314
—
OH
01
—
341757611029
CARESOURCE
OH
01
—
410793
UPMC
PA
Enumeration date
02/22/2007
Last updated
12/09/2009
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