MEDICARE: DAVID T THORYK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD056971L	PA

General Provider Information

NPI Number	:	1831164136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID T THORYK M.D.

Provider Business Mailing Address
First Line	:	162 CHESTERFIELD DR
Second Line	:
City	:	PALMYRA
State	:	PA
Zip	:	17078-8745
Country	:	US
Telephone Number	:	717-350-2588
Fax Number	:

Provider Business Practice Location Address
First Line	:	162 CHESTERFIELD DR
Second Line	:
City	:	PALMYRA
State	:	PA
Zip	:	17078-8745
Country	:	US
Telephone Number	:	717-350-2588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	03/03/2024

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