MEDICARE: VINCENT J TRAPANOTTO DO

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	207R00000X	Internal Medicine Physician	OS009657L	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	:	1871570465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT J TRAPANOTTO DO

Provider Business Mailing Address
First Line	:	160 GALLERY DR STE 300
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2690
Country	:	US
Telephone Number	:	724-941-7144
Fax Number	:	724-941-7625

Provider Business Practice Location Address
First Line	:	160 GALLERY DR STE 300
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2690
Country	:	US
Telephone Number	:	724-941-7144
Fax Number	:	724-941-7625

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	10/07/2020

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Directions to “ VINCENT J TRAPANOTTO DO” Practice Location

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