Provider Demographics
NPI:1598056095
Name:TOOMEY, ROBERT JOSEPH III (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:TOOMEY
Suffix:III
Gender:M
Credentials:DPM
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Mailing Address - Street 1:2280 OPITZ BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3362
Mailing Address - Country:US
Mailing Address - Phone:703-583-5959
Mailing Address - Fax:703-583-5995
Practice Address - Street 1:2280 OPITZ BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3362
Practice Address - Country:US
Practice Address - Phone:703-583-5959
Practice Address - Fax:703-583-5995
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2016-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0103301187213ES0103X
MD01591213ES0103X
DCPO1000117213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHV210ZMedicaid