Individual
JOSEPH RAPHAEL TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-8190
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-8190
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9300346
NC
208000000X
Pediatrics Physician
9300346
NC
2080P0203X
Pediatric Critical Care Medicine Physician
9300346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207669000
—
WV
01
—
2191155A
MEDICARE
NC
01
—
4258659
AETNA
—
01
—
50086898
RR MEDICARE
—
05
—
5700701
—
VA
01
—
5986
PARTNERS
—
01
—
63991
MEDCOST
—
05
—
7983600
—
NC
01
—
83600
BCBS
—
05
—
Q00348
—
SC
Enumeration date
12/13/2005
Last updated
08/19/2010
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