Healthcare Provider Details

I. General information

NPI: 1194821934
Provider Name (Legal Business Name): ERNEST RICHARD TONSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 KANAWHA TER
SAINT ALBANS WV
25177-2750
US

IV. Provider business mailing address

415 MORRIS ST STE 304
CHARLESTON WV
25301-1853
US

V. Phone/Fax

Practice location:
  • Phone: 304-727-7711
  • Fax:
Mailing address:
  • Phone: 304-388-7783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number12256
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number12256
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: