Individual
DR. JORGE ENRIQUE TOLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSCE
Contact information
Practice address
701 OSTRUM ST STE 303, FOUNTAIN HILL, PA 18015
(503) 494-2101
(866) 410-7401
Mailing address
701 OSTRUM ST STE 303, FOUNTAIN HILL, PA 18015-1152
(484) 526-3900
(866) 410-7401
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00048485
WA
207V00000X
Obstetrics & Gynecology Physician
MD25459
OR
207VM0101X
Maternal & Fetal Medicine Physician
MD00048485
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD065192L
PA
207VM0101X
Maternal & Fetal Medicine Physician
MD25459
OR
Other
Enumeration date
07/31/2006
Last updated
06/05/2020
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