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Individual

J S TODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1524 ATWOOD AVE, JOHNSTON, RI 02919-3228
(401) 421-6011
(401) 421-9088
Mailing address
PO BOX 6300, PROVIDENCE, RI 02940-6300
(401) 421-6011
(401) 421-9088

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD6321
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002267
BLUE CHIP
01
1136
NEIGHBORHOOD HEALTH
01
3200105
UNITED HEALTH CARE
01
4268
RI BC
01
774339
TUFTS
05
9000426
RI
01
R10981
HEALTHNET
Enumeration date
11/08/2006
Last updated
12/03/2007
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