Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 30724 | MA |
NPI | 1033287255 |
---|---|
Provider Name | Dr. Imre G Toth |
First Address | Quincy, MA 02171-2125 |
Second Address | Quincy, MA 02171-2125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 11/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A65867 | (02) | MA |