Provider Demographics
NPI:1508177353
Name:STRASSBERG, EMMIE RUTH (DO)
Entity Type:Individual
Prefix:DR
First Name:EMMIE
Middle Name:RUTH
Last Name:STRASSBERG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 AMHERST ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2841
Mailing Address - Country:US
Mailing Address - Phone:540-536-3228
Mailing Address - Fax:540-536-3227
Practice Address - Street 1:1870 AMHERST ST STE 3A
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2841
Practice Address - Country:US
Practice Address - Phone:540-536-3228
Practice Address - Fax:540-536-3227
Is Sole Proprietor?:No
Enumeration Date:2010-06-27
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3169207VM0101X
VA0102204829207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAST462597OtherMEDICARE