Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 25MB06121500 | NJ |
NPI | 1386624849 |
---|---|
Provider Name | Dr. Gregory Rocco Toci |
First Address | Marlton, NJ 08053-4112 |
Second Address | Marlton, NJ 08053-2141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 13/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8722200 | (05) | NJ |
G99141 | (02) | NJ |