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General NPI Number Information
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NPI Number | 1346774502
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Entity Type | Individual
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Provider Name | P. JOSEPH TOBIAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 830 HARRISON AVENUE, STE. 3400 MOAKLEY BLDG.
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City | BOSTON
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State | MA
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Zip | 02118-2905
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Country | US
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Telephone | 617-414-8060
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Fax | 617-414-8012
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Provider Business Mailing Address
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Address Line | 960 MASSACHUSETTS AVENUE FL 2
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City | BOSTON
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State | MA
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Zip | 02118-2690
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 1024354
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License Number State | MA
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