Provider Demographics
NPI:1114360856
Name:THRO, HOLLY S (MD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:S
Last Name:THRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MADELYN LN STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4460
Mailing Address - Country:US
Mailing Address - Phone:207-921-5900
Mailing Address - Fax:207-921-5359
Practice Address - Street 1:7 MADELYN LN STE 200
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-921-5900
Practice Address - Fax:207-921-5359
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2018-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD42671207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine