Healthcare Provider Details

I. General information

NPI: 1184144404
Provider Name (Legal Business Name): JOHN MICHAEL TRANGUCCI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1581 N 9TH ST
STROUDSBURG PA
18360-7531
US

IV. Provider business mailing address

1581 N 9TH ST
STROUDSBURG PA
18360-7531
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-1260
  • Fax:
Mailing address:
  • Phone: 484-526-1260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD477225
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: