MEDICARE: DR. DENNE MICHELLE THOMAS-PATTERSON MD

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	207Q00000X	Family Medicine Physician	MD72726L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386797603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNE MICHELLE THOMAS-PATTERSON MD

Provider Business Mailing Address
First Line	:	219 N ULMER AVE
Second Line	:
City	:	GIBBSTOWN
State	:	NJ
Zip	:	08027-1150
Country	:	US
Telephone Number	:	856-224-1917
Fax Number	:

Provider Business Practice Location Address
First Line	:	176 S NEW MIDDLETOWN RD
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-5255
Country	:	US
Telephone Number	:	610-627-3690
Fax Number	:	610-627-3684

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

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	10/19/2020

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