Provider Demographics
NPI:1487661542
Name:PATRICK, GEORGE BRANCH II (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:BRANCH
Last Name:PATRICK
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9221 COLESVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1657
Mailing Address - Country:US
Mailing Address - Phone:301-585-6565
Mailing Address - Fax:303-585-3111
Practice Address - Street 1:9221 COLESVILLE ROAD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1657
Practice Address - Country:US
Practice Address - Phone:301-585-6565
Practice Address - Fax:303-585-3111
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD17729207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B92950Medicare UPIN
MD411953Medicare PIN