Healthcare Provider Details

I. General information

NPI: 1831164136
Provider Name (Legal Business Name): DAVID T THORYK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 03/03/2024
Certification Date: 03/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 CHESTERFIELD DR
PALMYRA PA
17078-8745
US

IV. Provider business mailing address

162 CHESTERFIELD DR
PALMYRA PA
17078-8745
US

V. Phone/Fax

Practice location:
  • Phone: 717-350-2588
  • Fax:
Mailing address:
  • Phone: 717-350-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD056971L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: