Healthcare Provider Details

I. General information

NPI: 1760458772
Provider Name (Legal Business Name): DAVID WILLIAM TOTH M.D., FACE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 01/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 FOSTER ST
PEABODY MA
01960-8925
US

IV. Provider business mailing address

27 CONGRESS ST STE 513
SALEM MA
01970-5523
US

V. Phone/Fax

Practice location:
  • Phone: 978-532-4903
  • Fax:
Mailing address:
  • Phone: 978-744-8388
  • Fax: 978-744-0079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number44213
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number240670
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: