Provider Demographics
NPI:1801948252
Name:FRANYUTTI, FULVIO ROGELIO (MD)
Entity type:Individual
Prefix:DR
First Name:FULVIO
Middle Name:ROGELIO
Last Name:FRANYUTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 190
Mailing Address - Street 2:AIRPORT ROAD
Mailing Address - City:PHILIPPI
Mailing Address - State:WV
Mailing Address - Zip Code:26416
Mailing Address - Country:US
Mailing Address - Phone:304-626-2380
Mailing Address - Fax:304-626-0235
Practice Address - Street 1:320 W PIKE ST
Practice Address - Street 2:SUITE 120
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-2793
Practice Address - Country:US
Practice Address - Phone:304-626-2380
Practice Address - Fax:304-624-0235
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV09486174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist