Provider Demographics
NPI:1942343736
Name:TOSELLI, PAUL A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:TOSELLI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:80 E CONCORD ST
Mailing Address - Street 2:BOSTON UNIVERSITY MEDICAL SCHOOL - ROOM K401
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2307
Mailing Address - Country:US
Mailing Address - Phone:617-638-4050
Mailing Address - Fax:617-638-5339
Practice Address - Street 1:80 E CONCORD ST
Practice Address - Street 2:BOSTON UNIVERSITY MEDICAL SCHOOL - ROOM K107
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2307
Practice Address - Country:US
Practice Address - Phone:617-638-4050
Practice Address - Fax:617-638-5339
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA402891744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study