Provider Demographics
NPI:1639403306
Name:TONER, ERIC (MD,)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:TONER
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 E PRATT ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3132
Mailing Address - Country:US
Mailing Address - Phone:443-573-4502
Mailing Address - Fax:
Practice Address - Street 1:621 E PRATT ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3132
Practice Address - Country:US
Practice Address - Phone:443-573-4502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026587207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB69798Medicare UPIN