Provider Demographics
NPI:1386783496
Name:TOKARZ, JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:TOKARZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MILK ST
Mailing Address - Street 2:SUITE #407
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4600
Mailing Address - Country:US
Mailing Address - Phone:617-542-6878
Mailing Address - Fax:617-542-6876
Practice Address - Street 1:10 MILK ST
Practice Address - Street 2:SUITE #407
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4600
Practice Address - Country:US
Practice Address - Phone:617-542-6878
Practice Address - Fax:617-542-6876
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH1842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39944OtherBCBS OF MA
MAY36349Medicare ID - Type Unspecified