Healthcare Provider Details

I. General information

NPI: 1811808348
Provider Name (Legal Business Name): HARRISON TOROK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HARRY TOROK

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK RD
PHILADELPHIA PA
19141-3018
US

IV. Provider business mailing address

PO BOX 788735
PHILADELPHIA PA
19178-8735
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-7979
  • Fax: 215-456-8539
Mailing address:
  • Phone: 215-456-7000
  • Fax: 215-254-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN722946
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: