1841390952 NPI number — WILLIAM ANTHONY TOSCHES I MD

Table of content: WILLIAM ANTHONY TOSCHES I MD (NPI 1841390952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841390952 NPI number — WILLIAM ANTHONY TOSCHES I MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TOSCHES
Provider First Name:
WILLIAM
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
Provider Name Suffix Text:
I
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841390952
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
54 HOPEDALE ST.
Provider Second Line Business Mailing Address:
TRACY HENNESSY
Provider Business Mailing Address City Name:
HOPEDALE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01747
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-473-4323
Provider Business Mailing Address Fax Number:
508-473-1695

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
54 HOPEDALE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOPEDALE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01747-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-473-4323
Provider Business Practice Location Address Fax Number:
508-473-0417
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  34429 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0192511 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com