Basic Information
Provider Information
NPI: 1457668899
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOFFOLI
FirstName: DANIELA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1207 MCLENDON DR
Address2:  
City: DECATUR
State: GA
PostalCode: 300333949
CountryCode: US
TelephoneNumber: 6783811568
FaxNumber:  
Practice Location
Address1: 1365B CLIFTON RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303221013
CountryCode: US
TelephoneNumber: 4047782020
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/07/2010
LastUpdateDate: 09/07/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X4685GAY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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