Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD458199 | PA |
N | 207X00000X | Orthopaedic Surgeon | MT197962 | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD458199 | PA |
NPI | 1124339601 |
---|---|
Provider Name | Dr. Richard Jason Tosti |
First Address | King Of Prussia, PA 19406-4207 |
Second Address | Philadelphia, PA 19140-5103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2010 |
Last Update Date | 01/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MT197962 | MEDICAL TRAINING LICENSE (01) | PA |