Provider Demographics
NPI:1528057239
Name:TONER, THOMAS J JR (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:TONER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:J
Other - Last Name:TONER
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:201 HONEYSUCKLE CT
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1318
Mailing Address - Country:US
Mailing Address - Phone:717-632-1563
Mailing Address - Fax:
Practice Address - Street 1:201 HONEYSUCKLE CT
Practice Address - Street 2:201 HONEYSUCKLE CT.
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1318
Practice Address - Country:US
Practice Address - Phone:717-632-2221
Practice Address - Fax:717-632-3079
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019347E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C28642Medicare UPIN
060848Medicare ID - Type Unspecified