Individual
DR. LARRY MICHAEL TOFFOLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD22161
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD22161
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4100810
BLUE CROSS
TN
05
—
5440528
—
TN
05
—
64096969
—
KY
Enumeration date
07/02/2006
Last updated
11/08/2018
Update your record
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