Healthcare Provider Details

I. General information

NPI: 1497717904
Provider Name (Legal Business Name): WOMEN'S HEALTH ALLIANCE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 LAKE BOONE TRL SUITE 210
RALEIGH NC
27607-7513
US

IV. Provider business mailing address

4414 LAKE BOONE TRL SUITE 210
RALEIGH NC
27607-7513
US

V. Phone/Fax

Practice location:
  • Phone: 919-571-1040
  • Fax: 919-781-0247
Mailing address:
  • Phone: 919-571-1040
  • Fax: 919-781-0247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE M TOSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 919-848-4080