Basic Information
Provider Information
NPI: 1376834812
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATE
FirstName: JOSEPH
MiddleName: DAVID
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 E UNIVERSITY PKWY
Address2: DEPARTMENT OF EMERGENCY MEDICINE
City: BALTIMORE
State: MD
PostalCode: 212182829
CountryCode: US
TelephoneNumber: 4105542000
FaxNumber: 2028772468
Practice Location
Address1: 201 E UNIVERSITY PKWY
Address2: DEPARTMENT OF EMERGENCY MEDICINE
City: BALTIMORE
State: MD
PostalCode: 212182829
CountryCode: US
TelephoneNumber: 4105542000
FaxNumber: 2028772468
Other Information
ProviderEnumerationDate: 05/02/2011
LastUpdateDate: 06/10/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XD0077325MDY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD042071DCN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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