Provider Demographics
NPI:1790786671
Name:TOMA, VINCENT S (MD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:S
Last Name:TOMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4640 W ALEXIS RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-1182
Mailing Address - Country:US
Mailing Address - Phone:419-474-9324
Mailing Address - Fax:855-287-0160
Practice Address - Street 1:4640 W ALEXIS RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-1182
Practice Address - Country:US
Practice Address - Phone:419-474-9324
Practice Address - Fax:855-287-0160
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH85896207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2565022Medicaid
OH000000364722OtherANTHEM BCBS INSURANCE
OH7000689OtherAETNA INSURANCE
OHH74590Medicare UPIN