Provider Demographics
NPI:1760458772
Name:TOTH, DAVID WILLIAM (MD, FACE)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WILLIAM
Last Name:TOTH
Suffix:
Gender:M
Credentials:MD, FACE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27 CONGRESS ST STE 513
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-5523
Mailing Address - Country:US
Mailing Address - Phone:978-744-8388
Mailing Address - Fax:978-744-0079
Practice Address - Street 1:89 FOSTER ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-8925
Practice Address - Country:US
Practice Address - Phone:978-532-4903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI44213207RE0101X
MA240670207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1760458772OtherPHCS
MA110083061AMedicaid
MA1760458772OtherAETNA
MA1760458772OtherEVERCARE
MA7959342OtherAETNA NON HMO
MA0450022OtherNEIGHBORHOOD HEALTH PLAN
MAAA151000OtherHPHC
MA1760458772OtherBOSTON MEDICAL CENTER HEALTH PLAN
MA1760458772OtherBCBS
MA1760458772OtherFALLON COMMUNITY HEALTH PLAN
MA223132OtherTUFTS
MA94679501OtherNETWORK HEALTH
MA001201001OtherMEDICARE PTAN
NH1760458772OtherANTHEM
MA1760458772OtherUNITED HEALTHCARE
MA7234803OtherCIGNA
WIP00465804OtherRR MEDICARE
MAAA151000OtherHPHC
MA1760458772OtherEVERCARE