Provider Demographics
NPI:1083608582
Name:TOCE, DALE T (MD)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:T
Last Name:TOCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WOODLAND ST
Mailing Address - Street 2:STE 47
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2372
Mailing Address - Country:US
Mailing Address - Phone:860-525-4005
Mailing Address - Fax:
Practice Address - Street 1:7 ELM ST
Practice Address - Street 2:STE 201
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3669
Practice Address - Country:US
Practice Address - Phone:860-741-6678
Practice Address - Fax:860-741-6272
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT033592207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
060052424OtherRAILROAD MEDICARE
010033592CT02OtherANTHEM BCBS
010033592CT03OtherANTHEM BCBS
2083568OtherAETNA
0005127607OtherAETNA
CT702682OtherCONNECTICARE
CTP980108OtherOXFORD
00133592702OtherANTHEM BCBS
CTOV4117OtherHEALTH NET
CT001335927Medicaid
060052424OtherRAILROAD MEDICARE
CT060001270Medicare ID - Type Unspecified