Provider Demographics
NPI:1992998652
Name:MICHAEL TOFANO MD PC
Entity type:Organization
Organization Name:MICHAEL TOFANO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MIXCHAEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:TOFANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-371-1030
Mailing Address - Street 1:131ORNAC,JOHN CUMING BUILDING
Mailing Address - Street 2:SUITE 650
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-371-1030
Mailing Address - Fax:978-371-7568
Practice Address - Street 1:131ORNAC JOHN CUMING BUILDING
Practice Address - Street 2:SUITE 650
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-371-1030
Practice Address - Fax:978-371-7568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231782207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty