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Individual

RAYMOND K PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-8000
(856) 641-7668
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(302) 733-0806
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08278800
NJ
207L00000X
Anesthesiology Physician
MD432604
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150266
NJ
01
P00640454
RAILROAD MEDICARE
NJ
Enumeration date
11/27/2007
Last updated
06/15/2012
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