Provider Demographics
NPI:1710968755
Name:TOZZI, SHIRLY A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRLY
Middle Name:A
Last Name:TOZZI
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 1:1153 CENTRE ST STE 4A
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3446
Mailing Address - Country:US
Mailing Address - Phone:617-983-7300
Mailing Address - Fax:
Practice Address - Street 1:1153 CENTRE ST STE 4A
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-3446
Practice Address - Country:US
Practice Address - Phone:617-983-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158360207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5564505001OtherCIGNA
MA7075606OtherAETNA
MA0162281Medicaid
MA691722OtherHVD PILGRIM HEALTH CARE
MAJ24397OtherBCBS
MA158360OtherSECURE HORIZONS
MA158360OtherTUFTS
MA0162281Medicaid
MA5564505001OtherCIGNA