MEDICARE: TONI MICHELLE CZITO MD

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	207P00000X	Emergency Medicine Physician	200100344	NC

General Provider Information

NPI Number	:	1649232653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI MICHELLE CZITO MD

Provider Business Mailing Address
First Line	:	PO BOX 602195
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2195
Country	:	US
Telephone Number	:	877-498-4490
Fax Number	:

Provider Business Practice Location Address
First Line	:	2930 FORESTVILLE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-8774
Country	:	US
Telephone Number	:	919-235-6500
Fax Number	:

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	10/25/2023

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