MEDICARE: GEORGE A 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	25MA03362700	NJ

General Provider Information

NPI Number	:	1457368623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE A PATTERSON MD

Provider Business Mailing Address
First Line	:	1338 HOW LN
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1702
Country	:	US
Telephone Number	:	732-354-4162
Fax Number	:	732-354-3006

Provider Business Practice Location Address
First Line	:	1338 HOW LANE
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902
Country	:	US
Telephone Number	:	732-354-4162
Fax Number	:	732-354-3006

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/10/2017

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