Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | SC-002926-L | PA |
NPI | 1427086982 |
---|---|
Provider Name | Dr. Joseph Michael Toole |
First Address | Kingston, PA 18704-5442 |
Second Address | Kingston, PA 18704-5442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 29/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1056181 | (05) | PA |
T29319 | (02) | PA |