Provider Demographics
NPI:1396765186
Name:TOSO, GIANFRANCO (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:GIANFRANCO
Middle Name:
Last Name:TOSO
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GRANITE POINT DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1986
Mailing Address - Country:US
Mailing Address - Phone:610-376-3738
Mailing Address - Fax:610-376-4780
Practice Address - Street 1:1 GRANITE POINT DR
Practice Address - Street 2:SUITE 300
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1986
Practice Address - Country:US
Practice Address - Phone:610-376-3738
Practice Address - Fax:610-376-4780
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-028715-L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008199370002Medicaid
PA0008199370002Medicaid
PAB32572Medicare UPIN