Healthcare Provider Details

I. General information

NPI: 1710364187
Provider Name (Legal Business Name): GIUSEPPE VINCENZO TOIA M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HIGHLAND AVE
MADISON WI
53792-7115
US

IV. Provider business mailing address

7974 UW HEALTH CT # MC1010
MIDDLETON WI
53562-5531
US

V. Phone/Fax

Practice location:
  • Phone: 82-656-7056
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberML60655403
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number74551
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number74551
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: