Provider Demographics
NPI:1184652273
Name:FRANK MARRAPESE
Entity Type:Organization
Organization Name:FRANK MARRAPESE
Other - Org Name:MOMENTUM THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRAPESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-588-3330
Mailing Address - Street 1:41 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-9723
Mailing Address - Country:US
Mailing Address - Phone:724-588-3330
Mailing Address - Fax:724-588-1338
Practice Address - Street 1:41 6TH AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-9723
Practice Address - Country:US
Practice Address - Phone:724-588-3330
Practice Address - Fax:724-588-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003194L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0072999730002Medicaid
PA396737Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
PAR05849Medicare UPIN