# DR. JORGE ENRIQUE TOLOSA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699780106
- **Gender:** Man
- **Credential:** MD, MSCE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD00048485 | WA | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD25459 | OR | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD00048485 | WA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD065192L | PA | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD25459 | OR | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 06/05/2020