MEDICARE: DR. CYNDI MICHELLE TOROSKY TOMMASO 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	207NS0135X	Procedural Dermatology Physician	010237119	VA
2	207N00000X	Dermatology Physician	010237119	VA

General Provider Information

NPI Number	:	1679759807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNDI MICHELLE TOROSKY TOMMASO MD

Provider Business Mailing Address
First Line	:	6160 KEMPSVILLE CIR
Second Line	:	SUITE 200 A
City	:	NORFOLK
State	:	VA
Zip	:	23502-3933
Country	:	US
Telephone Number	:	757-622-6315
Fax Number	:	757-622-7022

Provider Business Practice Location Address
First Line	:	1248 PERIMETER PKWY STE 482
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5914
Country	:	US
Telephone Number	:	757-496-5085
Fax Number	:

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

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	06/24/2024

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