Organization
CROFTON PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD A TOLL DPM (OWNER)
(410) 721-4505
Entity
Organization
Contact information
Practice address
2411 CROFTON LN STE 25, CROFTON, MD 21114-1304
(410) 721-4505
Mailing address
2411 CROFTON LN STE 25, CROFTON, MD 21114-1304
(410) 721-4505
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05872-8100
—
MD
Enumeration date
01/04/2018
Last updated
06/16/2018
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