Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD457087 | PA |
Y | 2080P0204X | Pediatric Emergency Doctor | MT203820 | PA |
NPI | 1073856977 |
---|---|
Provider Name | Regina L Toto |
First Address | Philadelphia, PA 19128-5206 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 18/06/2018 |