Provider Demographics
NPI:1891788121
Name:TOOME, BIRGIT K (MD)
Entity Type:Individual
Prefix:
First Name:BIRGIT
Middle Name:K
Last Name:TOOME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:570 EGG HARBOR RD
Mailing Address - Street 2:STE C1
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2359
Mailing Address - Country:US
Mailing Address - Phone:856-256-8899
Mailing Address - Fax:856-256-8868
Practice Address - Street 1:2466 E CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-8486
Practice Address - Country:US
Practice Address - Phone:856-691-3442
Practice Address - Fax:856-691-6582
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05327500207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5133203Medicaid
NJ5133203Medicaid
NJ623330Medicare ID - Type Unspecified