Healthcare Provider Details

I. General information

NPI: 1679547368
Provider Name (Legal Business Name): ERIN M O'TOOLE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WORCESTER ST
NORTH GRAFTON MA
01536-1024
US

IV. Provider business mailing address

PO BOX 415348
BOSTON MA
02241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 508-839-7307
  • Fax: 508-839-5758
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA887
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: