Provider Demographics
NPI:1821582917
Name:CHARLES B TONER MD PA
Entity Type:Organization
Organization Name:CHARLES B TONER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:BRADIE
Authorized Official - Last Name:TONER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-515-6674
Mailing Address - Street 1:9131 PISCATAWAY RD STE 550
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2562
Mailing Address - Country:US
Mailing Address - Phone:301-966-7744
Mailing Address - Fax:
Practice Address - Street 1:9131 PISCATAWAY RD STE 550
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-966-7744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067264207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Multi-Specialty