Provider Demographics
NPI:1770641425
Name:BRUCE TOFIAS
Entity Type:Organization
Organization Name:BRUCE TOFIAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRUCE TOFIAS
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOFIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-964-1840
Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-964-1840
Mailing Address - Fax:
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-964-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0172197Medicaid
MA047534 TUFTSOtherBRUCE TOFIAS
MA057337 TUFTSOtherJEAN R. PHALEN
MA3024512Medicaid
MAB33656 BLUE CROSSOtherBRUCE TOFIAS
MA693126 HARVARD PILGROtherJEAN R. PHALEN
MA19156 HARVARD PIGLRIOtherBRUCE TOFIAS
MAJ06766 BLUE CROSSOtherJEAN R PHALEN
MAM18085 BLUECROSSOtherGROUP NO TOFIAS & PHALEN
MA693126 HARVARD PILGROtherJEAN R. PHALEN
MAA66215Medicare UPIN
MA047534 TUFTSOtherBRUCE TOFIAS
MAJ06766 BLUE CROSSOtherJEAN R PHALEN