Individual
LAURIE TOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CHURCH RD, ARDMORE, PA 19003-2316
(610) 642-1806
(610) 645-5783
Mailing address
100 CHURCH RD, ARDMORE, PA 19003-2316
(610) 642-1806
(610) 645-5783
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD016388E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031830
AETNA
PA
01
—
070015849
RAILROAD MEDICARE
PA
Enumeration date
03/31/2006
Last updated
10/18/2010
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