Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD038038L | PA |
NPI | 1083716435 |
---|---|
Provider Name | Michael Elchanan Toaff |
First Address | Bryn Mawr, PA 19010 |
Second Address | Bryn Mawr, PA 19010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B37077 | (02) |