Healthcare Provider Details

I. General information

NPI: 1982933024
Provider Name (Legal Business Name): FRANK J TRUPO MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 12/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 LAIDLEY ST STE 510
CHARLESTON WV
25301-1619
US

IV. Provider business mailing address

331 LAIDLEY ST STE 510
CHARLESTON WV
25301-1619
US

V. Phone/Fax

Practice location:
  • Phone: 304-346-4444
  • Fax: 304-346-6383
Mailing address:
  • Phone: 304-346-4444
  • Fax: 304-346-6383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number14394
License Number StateWV

VIII. Authorized Official

Name: DR. FRANK JOHN TRUPO
Title or Position: SOLE MEMBER
Credential: MD
Phone: 304-346-4444