Individual
JOHN PATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-4879
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053569
PA
Other
Enumeration date
09/17/2008
Last updated
04/23/2018
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