Provider Demographics
NPI:1093893448
Name:STRANG, CLYDE A (MD)
Entity Type:Individual
Prefix:
First Name:CLYDE
Middle Name:A
Last Name:STRANG
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-3150
Mailing Address - Fax:717-339-3149
Practice Address - Street 1:450 S WASHINGTON ST
Practice Address - Street 2:SUITE E
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2500
Practice Address - Country:US
Practice Address - Phone:717-339-3150
Practice Address - Fax:717-339-3149
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022090E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50011377OtherCAPITAL BLUECROSS
PA664700OtherHIGHMARK BLUESHIELD
PA00101249Medicaid
PA0010124090005Medicaid
PAPO1736540OtherRAILROAD
PAPO1736540OtherRAILROAD
PA0010124090005Medicaid