Individual provider · NPI-1

Matthew J Fabec, PA

Physician Assistant · Cleveland, OH

NPI number1881896967
StatusActive
Last updated in NPPESOct 31, 2024

Details

NPI
1881896967
Entity type
Individual (NPI-1)
Name
Matthew J Fabec
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2007
Certification date
Oct 31, 2024
Last updated
Oct 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant50.002503OHYes
146D00000X Personal Emergency Response Attendant50002503OH

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone 216-844-4000

Mailing address

2417 Gardner Ct
Twinsburg, OH 44087-3216

Phone 330-452-8744

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