Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0231 | MP |
N | 207QA0505X | Family Doctor - Adult Medicine | 0231 | MP |
NPI | 1265890461 |
---|---|
Provider Name | Dr. James William Toskas |
First Address | Tinian, MP 96952 |
Second Address | Saipan, MP 96950-0409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2016 |
Last Update Date | 02/02/2016 |