Provider Demographics
NPI:1043410780
Name:TRUNZO, JOSEPH ANGELO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANGELO
Last Name:TRUNZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:ANGELO
Other - Last Name:TRUNZO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:440-827-5755
Mailing Address - Fax:440-827-5344
Practice Address - Street 1:29099 HEALTH CAMPUS DR BLDG 3
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5200
Practice Address - Country:US
Practice Address - Phone:440-827-5755
Practice Address - Fax:440-827-5344
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.090675208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery