Basic Information
Provider Information
NPI: 1639517063
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOSKALA
FirstName: ELINA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 925 CHESTNUT ST
Address2: FL 6
City: PHILADELPHIA
State: PA
PostalCode: 191074204
CountryCode: US
TelephoneNumber: 2159556760
FaxNumber: 2159234532
Practice Location
Address1: 925 CHESTNUT ST FL 6
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074204
CountryCode: US
TelephoneNumber: 2159556784
FaxNumber: 2159234532
Other Information
ProviderEnumerationDate: 06/07/2013
LastUpdateDate: 06/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XMD448926PAN Allopathic & Osteopathic PhysiciansOtolaryngology 
207YX0602X25MA10585800NJN Allopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
207Y00000X25MA10585800NJN Allopathic & Osteopathic PhysiciansOtolaryngology 
207YX0602XMD448926PAY Allopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy

No ID Information.


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