Provider Demographics
NPI:1821198466
Name:TOLO, ERIC T (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:T
Last Name:TOLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:41 MALL RD
Mailing Address - Street 2:LAHEY CLINIC, INC.
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-744-4583
Mailing Address - Fax:781-744-5345
Practice Address - Street 1:1 ESSEX CENTER DR
Practice Address - Street 2:LAHEY NORTHSHORE
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2901
Practice Address - Country:US
Practice Address - Phone:978-538-4583
Practice Address - Fax:978-538-4706
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-03-10
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Provider Licenses
StateLicense IDTaxonomies
MA210521207X00000X, 2086S0105X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0148351Medicaid
MA0148351Medicaid
MAA32967Medicare PIN