Provider Demographics
NPI:1780651273
Name:TOSKY, GEORGE MICHAEL
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:MICHAEL
Last Name:TOSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 LAKE BOONE TRAIL
Mailing Address - Street 2:# 308
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:919-781-7450
Mailing Address - Fax:919-781-6355
Practice Address - Street 1:4414 LAKE BOONE TRAIL
Practice Address - Street 2:# 308 CAPITAL AREA OB GYN
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-781-7450
Practice Address - Fax:919-781-6355
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29431207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC31870OtherMEDCOST
NC562142486OtherUHC
NC83648OtherBCBS
NC89836Medicaid
NC4568598OtherAETN A
NC136935OtherWELLPATH
NC674863005OtherCIGNA
203558BMedicare ID - Type Unspecified
NC89836Medicaid