MEDICARE: BARBARA PATTERSON PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	C0003182	MD

General Provider Information

NPI Number	:	1134274681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA PATTERSON PAC

Provider Business Mailing Address
First Line	:	985 PRINCE FREDERICK BLVD STE 201
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3492
Country	:	US
Telephone Number	:	410-535-2005
Fax Number	:	410-535-4850

Provider Business Practice Location Address
First Line	:	14090 SOLOMONS ISLAND RD
Second Line	:	SUITE 2500
City	:	SOLOMONS
State	:	MD
Zip	:	20688-3151
Country	:	US
Telephone Number	:	410-535-2005
Fax Number	:	410-535-4850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/21/2022

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Directions to “ BARBARA PATTERSON PAC” Practice Location

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