Organization
MOMENTUM THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK WILLIAM MARRAPESE P.T. (OWNER OF MOMENTUM THERAPEUTICS)
(724) 981-7303
Entity
Organization
Contact information
Practice address
2500 HIGHLAND RD, SUITE 101, HERMITAGE, PA 16148-4601
(724) 981-7303
Mailing address
121 NESHANNOCK TRAILS DR, NEW CASTLE, PA 16105-2905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT009233E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002363
PA BLUE SHIELD NUMBER
PA
05
—
1010802600001
—
PA
Enumeration date
08/12/2005
Last updated
10/24/2007
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