Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | MD458960 | PA |
Y | 2086S0120X | Pediatric Surgery | MT219531 | PA |
NPI | 1306189931 |
---|---|
Provider Name | Dr. John D Stratigis |
First Address | New York, NY 10021-0513 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2013 |
Last Update Date | 21/07/2021 |