Provider Demographics
NPI:1033299573
Name:TOLTZIS, MELANIE HOPE (MD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:HOPE
Last Name:TOLTZIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:847 EASTON RD
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2906
Mailing Address - Country:US
Mailing Address - Phone:215-918-5555
Mailing Address - Fax:215-918-5560
Practice Address - Street 1:847 EASTON RD
Practice Address - Street 2:SUITE 2500
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2906
Practice Address - Country:US
Practice Address - Phone:215-918-5555
Practice Address - Fax:215-918-5560
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045907L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1055677OtherCIGNA
PA727373OtherBLUE SHIELD
PA0565079800OtherKEYSTONE / IBC
PA4257876OtherAETNA
PA0565079800OtherKEYSTONE / IBC
PA4257876OtherAETNA