Provider Demographics
NPI:1073995163
Name:TOCCI, ELIZABETH M (MD)
Entity Type:Individual
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First Name:ELIZABETH
Middle Name:M
Last Name:TOCCI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:134 ANSEL HALLET ROAD
Mailing Address - Street 2:CAPE COD DERMATOLOGY, LLC
Mailing Address - City:WEST YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673-2583
Mailing Address - Country:US
Mailing Address - Phone:508-771-9779
Mailing Address - Fax:508-771-4355
Practice Address - Street 1:134 ANSEL HALLET ROAD
Practice Address - Street 2:CAPE COD DERMATOLOGY, LLC
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-2583
Practice Address - Country:US
Practice Address - Phone:508-771-9779
Practice Address - Fax:508-771-4355
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2021-12-08
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Provider Licenses
StateLicense IDTaxonomies
MA277693207N00000X
RILP03811207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110147304AMedicaid