Provider Demographics
NPI:1679783716
Name:FRANK J. TRUPO
Entity Type:Organization
Organization Name:FRANK J. TRUPO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:TRUPO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-346-4444
Mailing Address - Street 1:PO BOX 6812
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25362-0812
Mailing Address - Country:US
Mailing Address - Phone:304-346-4444
Mailing Address - Fax:304-346-6383
Practice Address - Street 1:331 LAIDLEY ST
Practice Address - Street 2:SUITE 510
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1619
Practice Address - Country:US
Practice Address - Phone:304-346-4444
Practice Address - Fax:304-346-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV14394173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty