Provider Demographics
NPI:1710023593
Name:TOMASCHKO, ANGELA LEE (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:LEE
Last Name:TOMASCHKO
Suffix:
Gender:F
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:HOLY CROSS ORTHOPEDIC INSTITUTE
Mailing Address - Street 2:5597 N DIXIE HIGHWAY
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334
Mailing Address - Country:US
Mailing Address - Phone:617-784-3454
Mailing Address - Fax:
Practice Address - Street 1:HOLY CROSS ORTHOPEDIC INSTITUTE
Practice Address - Street 2:5597 N DIXIE HIGHWAY
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334
Practice Address - Country:US
Practice Address - Phone:617-784-3454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50828207X00000X
FL140433207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery