Basic Information
Provider Information
NPI: 1871705327
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOIB
FirstName: DANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3601 A STREET
Address2: ST. CHRISTOPHER CHILDREN'S HOSPITAL
City: PHILADELPHIA
State: PA
PostalCode: 19134
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3601 A STREET
Address2: ST. CHRISTOPHER CHILDREN'S HOSPITAL
City: PHILADELPHIA
State: PA
PostalCode: 19134
CountryCode: US
TelephoneNumber: 2154275000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/05/2007
LastUpdateDate: 08/05/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X2010008631MON Allopathic & Osteopathic PhysiciansPediatrics 
2080P0216X2010008631MOY Allopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology

No ID Information.


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