Provider Demographics
NPI:1417178104
Name:ECKERT, PATRICK Q (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:Q
Last Name:ECKERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-733-3475
Mailing Address - Fax:302-733-6082
Practice Address - Street 1:4755 OGLETOWN STANTON ROAD
Practice Address - Street 2:CHRISTIANA HOSPITAL, SUITE 2E70
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718
Practice Address - Country:US
Practice Address - Phone:302-733-3475
Practice Address - Fax:302-733-6082
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0010502207RC0200X
PAMD436996207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine