Healthcare Provider Details

I. General information

NPI: 1881689255
Provider Name (Legal Business Name): EDWARD P TOFFOLON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LIBERTY SQUARE FLOOR 2 CONNECTICUT GI, PC
NEW BRITAIN CT
06051-2637
US

IV. Provider business mailing address

2139 SILAS DEANE HIGHWAY CONNECTICUT GI, PC
ROCKY HILL CT
06067-2339
US

V. Phone/Fax

Practice location:
  • Phone: 860-229-9688
  • Fax: 860-229-5498
Mailing address:
  • Phone: 860-257-4131
  • Fax: 860-257-4519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number15216
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: