Provider Demographics
NPI:1013361765
Name:TOTH, MICHAEL ANDREW
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ANDREW
Last Name:TOTH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MUNICIPAL RD
Mailing Address - Street 2:
Mailing Address - City:NEW RINGGOLD
Mailing Address - State:PA
Mailing Address - Zip Code:17960-9063
Mailing Address - Country:US
Mailing Address - Phone:570-728-6417
Mailing Address - Fax:
Practice Address - Street 1:41 MUNICIPAL RD
Practice Address - Street 2:
Practice Address - City:NEW RINGGOLD
Practice Address - State:PA
Practice Address - Zip Code:17960-9063
Practice Address - Country:US
Practice Address - Phone:570-728-6417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer