Healthcare Provider Details

I. General information

NPI: 1275803421
Provider Name (Legal Business Name): PETER A TOTO M.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 01/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ENGLE ST
ENGLEWOOD NJ
07631-1808
US

IV. Provider business mailing address

37 BEARDSLEE HILL DR
OGDENSBURG NJ
07439-1201
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-3765
  • Fax: 201-894-5876
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: