Provider Demographics
NPI:1912975913
Name:TORTORA, FRANK LOUIS JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:LOUIS
Last Name:TORTORA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 KILDAIRE PARK DR STE 500
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8164
Mailing Address - Country:US
Mailing Address - Phone:919-467-3203
Mailing Address - Fax:919-460-8915
Practice Address - Street 1:110 KILDAIRE PARK DR STE 500
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8161
Practice Address - Country:US
Practice Address - Phone:919-467-3203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23980208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8983645Medicaid
NC8983645Medicaid
NCC86802Medicare UPIN