Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2010008631 | MO |
Y | 2080P0216X | Pediatric Rheumatologist | 2010008631 | MO |
NPI | 1871705327 |
---|---|
Provider Name | Dr. Dana Toib |
First Address | Philadelphia, PA 19134 |
Second Address | Philadelphia, PA 19134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 05/08/2011 |