Healthcare Provider Details

I. General information

NPI: 1366522203
Provider Name (Legal Business Name): CHRISTOPHER JOHN TORONTOW MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST SUITE 1204
SILVER SPRING MD
20910-3806
US

IV. Provider business mailing address

8630 FENTON ST SUITE 1204
SILVER SPRING MD
20910-3806
US

V. Phone/Fax

Practice location:
  • Phone: 301-340-7525
  • Fax: 240-499-2602
Mailing address:
  • Phone: 301-340-7525
  • Fax: 240-499-2602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0077697
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200200817
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: