| Jonathan C Patrowicz DO PA | |
|
1820 Sweetbay Dr Suite 101 Salisbury MD 21804-1428 | |
| (410) 334-3788 | |
| (410) 334-3599 |
| Full Name | Jonathan C Patrowicz DO PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1820 Sweetbay Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Jonathan C Patrowicz (PRESIDENT) |
| Authorized Official Contact | 4103343788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C Patrowicz DO PA 1820 Sweetbay Dr Suite 101 Salisbury MD 21804-1428 Ph: (410) 334-3788 | Jonathan C Patrowicz DO PA 1820 Sweetbay Dr Suite 101 Salisbury MD 21804-1428 Ph: (410) 334-3788 |
| NPI Number | 1548390941 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/06/2011 |
| Medicare PECOS PAC ID | 7618958653 |
|---|---|
| Medicare Enrollment ID | O20040526000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548390941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H0057291 (Maryland) | Primary |
| Provider Name | Jonathan C Patrowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801888318 PECOS PAC ID: 8729069695 Enrollment ID: I20040527000806 |
| Provider Name | Tanya Poisker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114986106 PECOS PAC ID: 2769435411 Enrollment ID: I20050223000152 |
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