Provider Demographics
NPI:1710001698
Name:ANTHONY, DAVID THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:THOMAS
Last Name:ANTHONY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:262 E PIKE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:PA
Mailing Address - Zip Code:15342-1741
Mailing Address - Country:US
Mailing Address - Phone:724-746-1698
Mailing Address - Fax:412-330-4010
Practice Address - Street 1:424 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3362
Practice Address - Country:US
Practice Address - Phone:724-503-4679
Practice Address - Fax:724-703-1698
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2014-07-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4278202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry