Healthcare Provider Details

I. General information

NPI: 1083618474
Provider Name (Legal Business Name): SCOTT BRYAN TOFIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 PARMALEE AVE STE 400
YOUNGSTOWN OH
44510-1653
US

IV. Provider business mailing address

602 PARMALEE AVE STE 400
YOUNGSTOWN OH
44510-1653
US

V. Phone/Fax

Practice location:
  • Phone: 330-747-8611
  • Fax: 330-747-8027
Mailing address:
  • Phone: 330-747-8611
  • Fax: 330-747-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-07-0733
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: