Provider Demographics
NPI:1972999340
Name:STRAESSER, MATTHEW DWIGHT (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:DWIGHT
Last Name:STRAESSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S LOGAN BLVD STE 3200
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-3050
Mailing Address - Country:US
Mailing Address - Phone:814-944-2097
Mailing Address - Fax:814-941-2303
Practice Address - Street 1:800 S LOGAN BLVD STE 3200
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-3050
Practice Address - Country:US
Practice Address - Phone:814-944-2097
Practice Address - Fax:814-941-2303
Is Sole Proprietor?:No
Enumeration Date:2015-04-12
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD470054207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program