Organization
EDWARD J STRAUSS D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J STRAUSS D.O. (PRESIDENT)
(215) 728-6500
Entity
Organization
Contact information
Practice address
7604 CENTRAL AVE, SUITE 102, PHILADELPHIA, PA 19111-2433
(215) 728-6500
(215) 728-6502
Mailing address
7604 CENTRAL AVE, SUITE 102, PHILADELPHIA, PA 19111-2433
(215) 728-6500
(610) 941-6412
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
OS004043L
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OS004043L
PA
207R00000X
Internal Medicine Physician
OS004043L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008489480001
—
PA
05
—
0848948
—
PA
01
—
4220
US HEALTHCARE
PA
01
—
47153
MERCY NON-PAR
PA
01
—
923629
KEYSTONE
PA
01
—
PA10253
QUALMED
PA
01
—
ST994090
BLUE SHIELD
PA
Enumeration date
04/10/2008
Last updated
04/09/2015
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