MEDICARE: TONI M KING M.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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	35061620	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275504672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI M KING M.D.

Provider Business Mailing Address
First Line	:	1946 TOWN PARK BLVD
Second Line	:	#330
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-8372
Country	:	US
Telephone Number	:	330-896-5077
Fax Number	:	330-899-8805

Provider Business Practice Location Address
First Line	:	1946 TOWN PARK BLVD
Second Line	:	#330
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-8372
Country	:	US
Telephone Number	:	330-896-5077
Fax Number	:	330-899-8805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	01/13/2016

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Directions to “ TONI M KING M.D.” Practice Location

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