MEDICARE: STEPHANIE RITA STRAKA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0006X	Developmental - Behavioral Pediatrics Physician	OS018805	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326288796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE RITA STRAKA D.O.

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	484-526-1000
Fax Number	:	484-526-6500

Provider Business Practice Location Address
First Line	:	5425 LANARK RD
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8697
Country	:	US
Telephone Number	:	484-658-5758
Fax Number	:	833-213-6428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	03/06/2026

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