Healthcare Provider Details

I. General information

NPI: 1346774502
Provider Name (Legal Business Name): P. JOSEPH TOBIAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2017
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 HARRISON AVENUE, STE. 3400 MOAKLEY BLDG.
BOSTON MA
02118-2905
US

IV. Provider business mailing address

960 MASSACHUSETTS AVENUE FL 2
BOSTON MA
02118-2690
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-8060
  • Fax: 617-414-8012
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1024354
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: