Provider Demographics
NPI:1851663223
Name:ROBERT R. TOSCANO, M.D. PEDIATRIC MEDICINE
Entity Type:Organization
Organization Name:ROBERT R. TOSCANO, M.D. PEDIATRIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOSCANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-658-1058
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:33 CANAL STREET
Mailing Address - City:WEATOGUE
Mailing Address - State:CT
Mailing Address - Zip Code:06089-0315
Mailing Address - Country:US
Mailing Address - Phone:860-658-1058
Mailing Address - Fax:860-658-1819
Practice Address - Street 1:33 CANAL ST
Practice Address - Street 2:
Practice Address - City:WEATOGUE
Practice Address - State:CT
Practice Address - Zip Code:06089-9605
Practice Address - Country:US
Practice Address - Phone:860-658-1058
Practice Address - Fax:860-658-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0257932080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty