Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD443041 | PA |
NPI | 1215140504 |
---|---|
Provider Name | Dr. Amir Toib |
First Address | Bala Cynwyd, PA 19004-2214 |
Second Address | Philadelphia, PA 19134-1043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 01/07/2011 |