Healthcare Provider Details

I. General information

NPI: 1083716435
Provider Name (Legal Business Name): MICHAEL ELCHANAN TOAFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 COUNTY LINE RD
BRYN MAWR PA
19010
US

IV. Provider business mailing address

1201 COUNTY LINE RD
BRYN MAWR PA
19010
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-9999
  • Fax: 610-525-9998
Mailing address:
  • Phone: 610-525-9999
  • Fax: 610-525-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD038038L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: