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NPI Code Detail

MEDICARE: DR. RADKA TONIGAN TOSCOVA PH.D.

MEDICARE: DR. RADKA TONIGAN TOSCOVA PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistNM520NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013926120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RADKA TONIGAN TOSCOVA PH.D.
Provider Business Mailing Address
First Line : 17 SANDIA HEIGHTS DR NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87122-2009
Country : US
Telephone Number : 505-307-1125
Fax Number : 505-255-1047
Provider Business Practice Location Address
First Line : 17 SANDIA HEIGHTS DR NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87122-2009
Country : US
Telephone Number : 505-307-1125
Fax Number : 505-255-1047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 09/05/2008

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Directions to “ DR. RADKA TONIGAN TOSCOVA PH.D.” Practice Location

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