Provider Demographics
NPI:1295258259
Name:TOOMEY, JOSEPH F III (CNP)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:F
Last Name:TOOMEY
Suffix:III
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WINDERMERE RD
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2015
Mailing Address - Country:US
Mailing Address - Phone:617-331-4301
Mailing Address - Fax:
Practice Address - Street 1:48 MELROSE ST.
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-2409
Practice Address - Country:US
Practice Address - Phone:617-282-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-21
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN239573363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty