Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 25MA09890900 | NJ |
Y | 207RP1001X | Pulmonary Disease | 25MA09890900 | NJ |
NPI | 1063738318 |
---|---|
Provider Name | Andrew Toscano |
First Address | Boston, MA 02241-6457 |
Second Address | Summit, NJ 07901-4055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2010 |
Last Update Date | 06/07/2016 |