MEDICARE: DR. MICHAEL R. TOOHEY D.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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS018071-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000010853	OTHER	PA	BLUE CROSS/BLUE SHIELD
2	0032772000	OTHER	PA	AMERIHEALTH PERS CHOICE
3	55144	OTHER	PA	AETNA
4	0032772000	OTHER	PA	KEYSTONE
5	0032772000	OTHER	PA	PERSONAL CHOICE
6	010853	OTHER	PA	BLUE SHIELD FEDERAL
7	010853	OTHER	PA	AMERIHEALTH
8	3504944	OTHER	PA	CIGNA HMO & PPO
9	0032772000	OTHER	PA	AMERIHEALTH HMO

General Provider Information

NPI Number	:	1326086109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL R. TOOHEY D.M.D.

Provider Business Mailing Address
First Line	:	211 S MAIN ST.
Second Line	:	SUITE 201
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2264
Country	:	US
Telephone Number	:	609-465-9600
Fax Number	:	609-465-0336

Provider Business Practice Location Address
First Line	:	211 S. MAIN ST
Second Line	:	SUITE 201
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2264
Country	:	US
Telephone Number	:	609-465-9600
Fax Number	:	609-465-0336

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/18/2015

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Directions to “ DR. MICHAEL R. TOOHEY D.M.D.” Practice Location

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