Individual
ALISON T TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3755 ORANGE PL STE 101, BEACHWOOD, OH 44122-4455
(844) 746-8537
Mailing address
3755 ORANGE PL STE 101, BEACHWOOD, OH 44122-4455
(440) 455-3353
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.005071RX
OH
363AS0400X
Surgical Physician Assistant
50.005071RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239806
—
OH
01
—
H611750
MEDICARE
OH
Enumeration date
08/22/2017
Last updated
10/17/2017
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