Healthcare Provider Details

I. General information

NPI: 1952373847
Provider Name (Legal Business Name): ROBERT PATTEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 BAR HARBOR RD
TRENTON ME
04605-5807
US

IV. Provider business mailing address

390 BAR HASRBOR ROAD
TRENTON ME
04605
US

V. Phone/Fax

Practice location:
  • Phone: 207-667-5899
  • Fax:
Mailing address:
  • Phone: 207-664-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD22862
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: