Healthcare Provider Details

I. General information

NPI: 1124049093
Provider Name (Legal Business Name): STUART L TRAGER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 09/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SOUTH 8TH STREET SUITE 2-C
PHILADELPHIA PA
19106
US

IV. Provider business mailing address

301 SOUTH 8TH STREET SUITE 2-C
PHILADELPHIA PA
19106
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-7444
  • Fax: 215-829-7674
Mailing address:
  • Phone: 215-829-7444
  • Fax: 215-829-7674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STAURT TRAGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 215-829-7256