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Individual

NEIL E TOBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 SCHOOL STREET, STE 216, PAWTUCKET, RI 02860
(401) 728-6990
(401) 729-0930
Mailing address
333 SCHOOL STREET, STE 216, PAWTUCKET, RI 02860
(401) 728-6990
(401) 729-0930

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD04272
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002266
BLUE CHIP
01
070015540
RR MEDICARE
01
22192
BLUE CROSS
Enumeration date
07/13/2006
Last updated
01/07/2013
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