MEDICARE: FRANK D CAPORUSSO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MD022208E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396746764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK D CAPORUSSO MD

Provider Business Mailing Address
First Line	:	1843 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2115
Country	:	US
Telephone Number	:	215-389-4444
Fax Number	:	215-389-5765

Provider Business Practice Location Address
First Line	:	1843 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2115
Country	:	US
Telephone Number	:	215-389-4444
Fax Number	:	215-389-5765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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Directions to “ FRANK D CAPORUSSO MD” Practice Location

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