Provider Demographics
NPI:1730384850
Name:TOSCANO, STEVEN (PA C MPAS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:TOSCANO
Suffix:
Gender:M
Credentials:PA C MPAS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BRIDGE ST STE 9
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4922
Mailing Address - Country:US
Mailing Address - Phone:603-415-0090
Mailing Address - Fax:833-944-2258
Practice Address - Street 1:24 BRIDGE ST STE 9
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4922
Practice Address - Country:US
Practice Address - Phone:603-415-0090
Practice Address - Fax:833-944-2258
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH0630363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3075486Medicaid
NH30335042Medicaid
ME432605199Medicaid
ME432605199Medicaid