Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 75925 | MA |
Y | 207VE0102X | Reproductive Endocrinologist | 75925 | MA |
NPI | 1407847700 |
---|---|
Provider Name | Dr. Thomas Louis Toth |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 16/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3093557 | (05) | MA |
724088 | TUFTS HEALTH PLAN (01) | MA |
F29381 | (02) | |
J12552 | BCBS MA (01) | MA |