Healthcare Provider Details

I. General information

NPI: 1215088562
Provider Name (Legal Business Name): LEONARD JOSEPH TOROK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 10/31/2020
Certification Date: 10/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5783 WOOSTER PIKE
MEDINA OH
44256-8816
US

IV. Provider business mailing address

5783 WOOSTER PIKE
MEDINA OH
44256-8816
US

V. Phone/Fax

Practice location:
  • Phone: 330-725-0569
  • Fax: 330-662-0258
Mailing address:
  • Phone: 330-725-0569
  • Fax: 330-662-0258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.037881
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: