Individual
DANIELLE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4940 EASTERN AVE BLDG 3100, BALTIMORE, MD 21224-2735
(410) 550-2787
(410) 550-0196
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
231004
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
D85957
MD
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
231004
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075983A
—
MA
Enumeration date
10/06/2006
Last updated
09/19/2018
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