Healthcare Provider Details

I. General information

NPI: 1457668899
Provider Name (Legal Business Name): DANIELA TOFFOLI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365B CLIFTON RD NE
ATLANTA GA
30322-1013
US

IV. Provider business mailing address

1207 MCLENDON DR
DECATUR GA
30033-3949
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-2020
  • Fax:
Mailing address:
  • Phone: 678-381-1568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number4685
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: