Provider Demographics
NPI:1760496038
Name:HARVEY B PATS MD PA
Entity Type:Organization
Organization Name:HARVEY B PATS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-917-1800
Mailing Address - Street 1:2 COLGATE DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050
Mailing Address - Country:US
Mailing Address - Phone:410-836-9000
Mailing Address - Fax:410-879-0808
Practice Address - Street 1:2 COLGATE DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050
Practice Address - Country:US
Practice Address - Phone:410-836-9000
Practice Address - Fax:410-879-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD192382084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD194091Medicare PIN