Individual
MICHAEL PATRIARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 CETRONIA RD, SUITE 305, ALLENTOWN, PA 18104-9147
(484) 223-3279
(484) 223-3279
Mailing address
250 CETRONIA RD, SUITE 305, ALLENTOWN, PA 18104-9147
(484) 223-3279
(484) 223-3279
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS005237L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001261370
—
PA
Enumeration date
09/13/2006
Last updated
03/19/2009
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