Healthcare Provider Details

I. General information

NPI: 1447358387
Provider Name (Legal Business Name): STEPHEN D TOSK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WENDELL AVE SUITE 9
PITTSFIELD MA
01201-6910
US

IV. Provider business mailing address

100 WENDELL AVE
PITTSFIELD MA
01201-6910
US

V. Phone/Fax

Practice location:
  • Phone: 413-442-8563
  • Fax: 413-448-8310
Mailing address:
  • Phone: 413-442-8563
  • Fax: 413-448-8310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number437
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: