Provider Demographics
NPI:1275803421
Name:TOTO, PETER A (MS)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:A
Last Name:TOTO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
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Mailing Address - Street 1:37 BEARDSLEE HILL DR
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07439-1201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 ENGLE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1808
Practice Address - Country:US
Practice Address - Phone:201-894-3765
Practice Address - Fax:201-894-5876
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist