Individual
THANE TOE THANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 PENNCRAFT AVE, SUITE E, CHAMBERSBURG, PA 17201-5600
(717) 263-1383
(717) 263-7434
Mailing address
25 PENNCRAFT AVE, SUITE E, CHAMBERSBURG, PA 17201-5600
(717) 263-1383
(717) 263-7434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD026557E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008984940002
—
PA
05
—
02667045
—
NY
01
—
03260201
CAPITAL BLUE CROSS
PA
01
—
TH78110
HIGHMARK
PA
Enumeration date
04/25/2006
Last updated
07/08/2007
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