Individual
MICHAEL PATSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 SPARTA AVE, SUITE 105, SPARTA, NJ 07871-1760
(973) 726-4250
Mailing address
PO BOX 642, SPARTA, NJ 07871-0642
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA06731200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06731200
LICENSE
NJ
Enumeration date
12/16/2006
Last updated
07/09/2007
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