Basic Information
Provider Information | |||||||||
NPI: | 1003877218 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | WASHINGTON | ||||||||
FirstName: | TONI ANNE | ||||||||
MiddleName: | TUZIO | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | TUZIO | ||||||||
OtherFirstName: | TONI ANNE | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: | DR. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | MD | ||||||||
OtherLastNameType: | 5 | ||||||||
Mailing Information | |||||||||
Address1: | 5 FIRST VILLAGE DR | ||||||||
Address2: | PO BOX 2000 | ||||||||
City: | PINEHURST | ||||||||
State: | NC | ||||||||
PostalCode: | 28374 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9102956831 | ||||||||
FaxNumber: | 9102950244 | ||||||||
Practice Location | |||||||||
Address1: | 5 FIRST VILLAGE DR | ||||||||
Address2: |   | ||||||||
City: | PINEHURST | ||||||||
State: | NC | ||||||||
PostalCode: | 28374 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9102956831 | ||||||||
FaxNumber: | 9102950244 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/29/2006 | ||||||||
LastUpdateDate: | 09/06/2018 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 200100980 | NC | N |   | Allopathic & Osteopathic Physicians | Pediatrics |   | 207L00000X | 200100980 | NC | Y |   | Allopathic & Osteopathic Physicians | Anesthesiology |   |
No ID Information.