Individual
TEODORO K. TOLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 HUFFMAN MILL ROAD, BURLINGTON, NC 27215-8700
(336) 538-1234
(336) 584-6811
Mailing address
1234 HUFFMAN MILL ROAD, BURLINGTON, NC 27215-8700
(336) 538-1234
(336) 584-6811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-00683
NC
207RG0100X
Gastroenterology Physician
Primary
2005-00683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900911
—
NC
01
—
P00344054
RAILROAD MEDICARE
NC
Enumeration date
07/15/2006
Last updated
02/26/2020
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