Provider Demographics
NPI:1982933024
Name:FRANK J TRUPO MD PLLC
Entity Type:Organization
Organization Name:FRANK J TRUPO MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:TRUPO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-346-4444
Mailing Address - Street 1:331 LAIDLEY ST
Mailing Address - Street 2:STE 510
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1619
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:STE 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?:Yes
Parent Organization LBN:FRANK J TRUPO MD PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV14394208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty