Individual
DR. LARRY M SHRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 SPROUL RD SUITE 100, MARPLE COMMONS, BROOMALL, PA 19008-1539
(610) 353-3500
(610) 353-2015
Mailing address
2000 SPROUL RD SUITE 100, MARPLE COMMONS, BROOMALL, PA 19008-1539
(610) 353-3500
(610) 353-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 005571L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011230050005
—
PA
01
—
0080673000
IBC PRODUCTS
PA
01
—
010033426
MEDICARE RR
PA
01
—
0112300503
AMERICHOICE
PA
01
—
112682
COVENTRY
PA
01
—
115054
PA BLUE SHIELD
PA
01
—
2538151
AETNA
PA
01
—
P663877
OXFORD
PA
Enumeration date
08/21/2006
Last updated
02/06/2019
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