Provider Demographics
NPI:1386797603
Name:THOMAS-PATTERSON, DENNE MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:DENNE
Middle Name:MICHELLE
Last Name:THOMAS-PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 N ULMER AVE
Mailing Address - Street 2:
Mailing Address - City:GIBBSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08027-1150
Mailing Address - Country:US
Mailing Address - Phone:856-224-1917
Mailing Address - Fax:
Practice Address - Street 1:176 S NEW MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5255
Practice Address - Country:US
Practice Address - Phone:610-627-3690
Practice Address - Fax:610-627-3684
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD72726L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001860910Medicaid
PA001860910Medicaid
PAH53067Medicare UPIN