Provider Demographics
NPI:1629019393
Name:TOY, STEPHANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:TOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 OLIVER RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-3433
Mailing Address - Country:US
Mailing Address - Phone:707-426-5693
Mailing Address - Fax:707-426-6008
Practice Address - Street 1:1455 OLIVER RD
Practice Address - Street 2:SUITE 250
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-3433
Practice Address - Country:US
Practice Address - Phone:707-426-5693
Practice Address - Fax:707-426-6008
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG66550208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E96809Medicare UPIN