# DAVID TOLL MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023238557
- **Authorized official:** DAVID TOLL MD (OWNER)
- **Authorized official phone:** (802) 748-2348

## Contact information

- **Practice address:** 1394 MAIN ST, ST JOHNSBURY, VT 05819-1829
- **Practice address phone:** (802) 748-2348
- **Practice address fax:** (802) 748-5561
- **Mailing address:** 1394 MAIN ST, ST JOHNSBURY, VT 05819-1829
- **Mailing address phone:** (802) 748-2348
- **Mailing address fax:** (802) 748-5561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 042-0002104 | VT | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 01/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1006628 | — | VT |