Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | B33656 BLUE CROSS | OTHER | MASSACHUSETTS | BRUCE TOFIAS |
| 2 | 047534 TUFTS | OTHER | MASSACHUSETTS | BRUCE TOFIAS |
| 3 | 057337 TUFTS | OTHER | MASSACHUSETTS | JEAN R. PHALEN |
| 4 | 19156 HARVARD PIGLRI | OTHER | MASSACHUSETTS | BRUCE TOFIAS |
| 5 | 3024512 | MEDICAID | MASSACHUSETTS | |
| 6 | M18085 BLUECROSS | OTHER | MASSACHUSETTS | GROUP NO TOFIAS & PHALEN |
| 7 | 0172197 | MEDICAID | MARYLAND | |
| 8 | 693126 HARVARD PILGR | OTHER | MASSACHUSETTS | JEAN R. PHALEN |
| 9 | J06766 BLUE CROSS | OTHER | MASSACHUSETTS | JEAN R PHALEN |