Individual
ELIZABETH TOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6118
(401) 444-8804
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6118
(401) 444-8804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09355
RI
208000000X
Pediatrics Physician
MD09355
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005903
—
RI
Enumeration date
05/24/2006
Last updated
12/29/2010
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