Provider Demographics
NPI:1114360856
Name:THRO, HOLLY S (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:S
Last Name:THRO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ANCHOR DR STE 201
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-3848
Mailing Address - Country:US
Mailing Address - Phone:207-301-5900
Mailing Address - Fax:207-301-5332
Practice Address - Street 1:15 ANCHOR DR STE 201
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-3848
Practice Address - Country:US
Practice Address - Phone:207-301-5900
Practice Address - Fax:207-301-5332
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD221932084P0800X, 207Q00000X
IAMD426712084P0800X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry