Individual
TESSA M KRACINOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 MOSSIDE BLVD, SUITE 405, MONROEVILLE, PA 15146-3533
(412) 373-1600
(412) 373-4197
Mailing address
2550 MOSSIDE BLVD, SUITE 405, MONROEVILLE, PA 15146-3533
(412) 373-1600
(412) 373-4197
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA057095
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032073120002
—
PA
Enumeration date
04/06/2015
Last updated
10/08/2020
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