Individual
DR. PATRICIA L SCHMOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 LIBERTY HEIGHTS AVE 1080, BALTIMORE, MD 21215-8019
(410) 669-2020
Mailing address
2401 LIBERTY HEIGHTS AVE 1080, BALTIMORE, MD 21215-8019
(410) 669-2020
(410) 669-1795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0022630
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18002037
RAILROAD MEDICARE
MD
05
—
256981700
—
MD
01
—
2579046
AETNA
MD
01
—
36109002
BLUE CROSS BLUE SHIELD
MD
01
—
T7640001
BLUE CROSS FEDERAL
—
Enumeration date
02/28/2006
Last updated
09/30/2015
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