Provider Demographics
NPI:1699778779
Name:THORP, T RAMSEY (MD)
Entity type:Individual
Prefix:
First Name:T
Middle Name:RAMSEY
Last Name:THORP
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:4060 BUTLER PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1560
Mailing Address - Country:US
Mailing Address - Phone:215-836-1290
Mailing Address - Fax:215-233-3421
Practice Address - Street 1:4060 BUTLER PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1560
Practice Address - Country:US
Practice Address - Phone:215-836-1290
Practice Address - Fax:215-233-3421
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2017-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD028774L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011172400002Medicaid
PAB33324Medicare UPIN
PATH19299Medicare PIN