Organization
FRANK D. CAPORUSSO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK D CAPORUSSO MD (PRESIDENT)
(215) 755-4055
Entity
Organization
Contact information
Practice address
1843 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 755-4055
Mailing address
1843 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 755-4055
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD 022208E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2633214000
HIGHMARK HMO
—
Enumeration date
09/20/2006
Last updated
08/22/2020
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