Doctor Name: | DIANE P. MCCABE |
NPI Number: | 1063730562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | MA054322 |
Business Practice Address: | 1021 Park Ave Suite 10 Quakertown, PA - 189511573 |
Business Phone Number: | 2155299240 |
Business Fax Number: | 2155299284 |
Mailing Address: | 1021 Park Ave, Suite 10 QUAKERTOWN |
State: | PA |
Postal Code: | 189511573 |
Phone Number: | 2155299240 |
Fax Number: | 2155299284 |
NPI Enumeration Date: | 05/07/2010 |
NPI Last Update Date: | 05/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA054322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |