Provider Demographics
NPI:1760442826
Name:PATTON, GERALD M (MD)
Entity Type:Individual
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First Name:GERALD
Middle Name:M
Last Name:PATTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:830 OLD LANCASTER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3118
Mailing Address - Country:US
Mailing Address - Phone:610-527-1185
Mailing Address - Fax:610-527-8759
Practice Address - Street 1:830 OLD LANCASTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3118
Practice Address - Country:US
Practice Address - Phone:610-527-1185
Practice Address - Fax:610-527-8759
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2015-12-30
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Provider Licenses
StateLicense IDTaxonomies
PAMD042087E2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015896530002Medicaid
PA0015896530002Medicaid
867644M10Medicare Oscar/Certification