Provider Demographics
NPI:1972028256
Name:TRAGESSER, CHRISTINE L (ARDMS)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:TRAGESSER
Suffix:
Gender:F
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4463 BULLTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-9505
Mailing Address - Country:US
Mailing Address - Phone:412-427-1093
Mailing Address - Fax:
Practice Address - Street 1:4463 BULLTOWN RD
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-9505
Practice Address - Country:US
Practice Address - Phone:412-427-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA238802085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty