Provider Demographics
NPI:1316027105
Name:KINCHELOW, TOSCA ELANA (MD)
Entity Type:Individual
Prefix:DR
First Name:TOSCA
Middle Name:ELANA
Last Name:KINCHELOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:471 E SADDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2019
Mailing Address - Country:US
Mailing Address - Phone:201-925-2400
Mailing Address - Fax:201-612-1104
Practice Address - Street 1:471 E SADDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2019
Practice Address - Country:US
Practice Address - Phone:201-925-2400
Practice Address - Fax:201-612-1104
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03496900207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease