Healthcare Provider Details

I. General information

NPI: 1427758929
Provider Name (Legal Business Name): CHRISTINA TOSTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 BEACON ST
BROOKLINE MA
02446-5237
US

IV. Provider business mailing address

31 WADSWORTH RD
ASHLAND MA
01721-2522
US

V. Phone/Fax

Practice location:
  • Phone: 617-751-6205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA100454
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: