Individual
DR. PATRICE M. HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414
(215) 955-6680
(215) 503-2556
Mailing address
833 CHESTNUT ST, SUITE 740, PHILADELPHIA, PA 19107-4414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD035730E
PA
208000000X
Pediatrics Physician
MD035730E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00103898
—
PA
05
—
5031605
—
NJ
Enumeration date
07/21/2006
Last updated
03/06/2014
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