Healthcare Provider Details

I. General information

NPI: 1346717618
Provider Name (Legal Business Name): ARIEL TOLEDO II PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CAMBRIDGE ST
WORCESTER MA
01603-2350
US

IV. Provider business mailing address

98 CEDAR ST
FRAMINGHAM MA
01702-6954
US

V. Phone/Fax

Practice location:
  • Phone: 508-363-4870
  • Fax:
Mailing address:
  • Phone: 774-279-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH238521
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: