Provider Demographics
NPI:1033201355
Name:PATTERSON, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21750 DEEP HARBOR FARM RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21665-9722
Mailing Address - Country:US
Mailing Address - Phone:410-886-2690
Mailing Address - Fax:
Practice Address - Street 1:800 S TALBOT ST
Practice Address - Street 2:
Practice Address - City:ST MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2628
Practice Address - Country:US
Practice Address - Phone:410-745-0450
Practice Address - Fax:410-745-0452
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0057908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD199621300Medicaid
MD199621300Medicaid
MD515M790FMedicare PIN