Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 52150 | MA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 52150 | MA |
NPI | 1285690487 |
---|---|
Provider Name | Henry M Toczylowski |
First Address | Chestnut Hill, MA 02467-2503 |
Second Address | Chestnut Hill, MA 02467-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 18/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6190596 | (05) | MA |
B76382 | (02) |