Healthcare Provider Details

I. General information

NPI: 1982713533
Provider Name (Legal Business Name): JUDITH M STRANKO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 12/19/2020
Certification Date: 12/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 N 3RD ST
HARRISBURG PA
17110-2001
US

IV. Provider business mailing address

118 WASHINGTON ST
HARRISBURG PA
17104-1677
US

V. Phone/Fax

Practice location:
  • Phone: 717-782-4650
  • Fax: 717-782-4665
Mailing address:
  • Phone: 717-231-8539
  • Fax: 717-231-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS-005101-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberOS005101L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: