Provider Demographics
NPI:1144480682
Name:TOE, WIN (MD)
Entity type:Individual
Prefix:DR
First Name:WIN
Middle Name:
Last Name:TOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6553 E BAYWOOD AVE STE 212
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1754
Mailing Address - Country:US
Mailing Address - Phone:480-543-6880
Mailing Address - Fax:480-543-5933
Practice Address - Street 1:6553 E BAYWOOD AVE STE 212
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-1754
Practice Address - Country:US
Practice Address - Phone:480-543-6880
Practice Address - Fax:480-543-5933
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2466262084N0400X
NJ25MA084756002084N0400X
AZ402902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00755079OtherRR MCR PTAN
NJ0187216Medicaid
NJ145019A0XMedicare PIN
NJP00755079OtherRR MCR PTAN
Z124550Medicare PIN