Provider Demographics
NPI:1972520716
Name:TOOZE EASTER & MANIFOLD M.D. P.A
Entity type:Organization
Organization Name:TOOZE EASTER & MANIFOLD M.D. P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:DENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-735-8705
Mailing Address - Street 1:720 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3567
Mailing Address - Country:US
Mailing Address - Phone:302-735-8705
Mailing Address - Fax:302-735-8703
Practice Address - Street 1:720 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3567
Practice Address - Country:US
Practice Address - Phone:302-735-8705
Practice Address - Fax:302-735-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DETO594689Medicaid
DETO594689Medicaid
DE0532640001Medicare NSC