Healthcare Provider Details
I. General information
NPI: 1730280520
Provider Name (Legal Business Name): JOHN D TOTH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7420 GOODING BOULEVARD SUITE 100
DELAWARE OH
43015
US
IV. Provider business mailing address
1021 COUNTRY CLUB ROAD SUITE A
COLUMBUS OH
43213
US
V. Phone/Fax
- Phone: 740-657-8000
- Fax: 740-657-8100
- Phone: 614-501-7337
- Fax: 614-434-2701
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 35085830 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: