Individual
DR. PATRICIA MARIE DISHAROON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3414 ST. PAUL STREET, BALTIMORE, MD 21218
(410) 889-3060
(410) 243-8176
Mailing address
3414 ST. PAUL STREET, BALTIMORE, MD 21218
(410) 889-3060
(410) 243-8176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D22419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
792201900
—
MD
Enumeration date
09/23/2005
Last updated
06/09/2015
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