Provider Demographics
NPI:1205195211
Name:THACI, BART (MD)
Entity Type:Individual
Prefix:
First Name:BART
Middle Name:
Last Name:THACI
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Gender:M
Credentials:MD
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Other - Middle Name:
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Mailing Address - Street 1:205 SOUTH FRONT STREET
Mailing Address - Street 2:6TH FLOOR BMA
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1619
Mailing Address - Country:US
Mailing Address - Phone:717-988-9370
Mailing Address - Fax:717-703-0154
Practice Address - Street 1:205 SOUTH FRONT STREET
Practice Address - Street 2:6TH FLOOR BMA
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1619
Practice Address - Country:US
Practice Address - Phone:717-988-9370
Practice Address - Fax:717-703-0154
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2022-12-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD476811207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery