Individual
SABU GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
234 MILL ST, BRISTOL, PA 19007-4809
(215) 785-5100
(215) 785-5101
Mailing address
13106 BUSTLETON AVE, PHILADELPHIA, PA 19116-1604
(215) 677-5431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD071538L
PA
207RC0000X
Cardiovascular Disease Physician
MD071538L
PA
207RI0011X
Interventional Cardiology Physician
Primary
31961
NE
207RI0011X
Interventional Cardiology Physician
71574
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101648757
—
PA
01
—
1851521
HIGHMARK
PA
01
—
2708321000
INDEPENDENCE BLUE CROSS
PA
01
—
30043356
KEYSTONE MERCY
PA
Enumeration date
07/10/2006
Last updated
12/08/2021
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