Provider Demographics
NPI:1053592766
Name:TORTORELLA, FRANK JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:TORTORELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3006 MARLBORO DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1337
Mailing Address - Country:US
Mailing Address - Phone:804-828-0584
Mailing Address - Fax:804-828-5776
Practice Address - Street 1:1200 EAST BROAD STREET
Practice Address - Street 2:SUITE 122
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0134
Practice Address - Country:US
Practice Address - Phone:804-828-0584
Practice Address - Fax:804-828-5776
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101027926207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine