Provider Demographics
NPI:1275589681
Name:RICHARDS-ROWLEY, TONI ALEXIS (MD)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:ALEXIS
Last Name:RICHARDS-ROWLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 S COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-2814
Mailing Address - Country:US
Mailing Address - Phone:157-237-1772
Mailing Address - Fax:215-721-8771
Practice Address - Street 1:4 S COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-2814
Practice Address - Country:US
Practice Address - Phone:157-237-1772
Practice Address - Fax:215-721-8771
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85173208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264647100Medicaid
FL264647100Medicaid