Provider Demographics
NPI:1528082930
Name:HARGEST, THOMAS EMMANUEL JR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EMMANUEL
Last Name:HARGEST
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:25 MONUMENT RD STE 210
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5049
Mailing Address - Country:US
Mailing Address - Phone:717-852-7766
Mailing Address - Fax:717-852-7862
Practice Address - Street 1:1030 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3862
Practice Address - Country:US
Practice Address - Phone:717-852-7766
Practice Address - Fax:717-852-7862
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD043627L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF06617Medicare UPIN
PAHA697879Medicare ID - Type Unspecified