Doctor Name: | PATRICK ALLEN TITUS |
NPI Number: | 1437198033 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C10006175 |
Business Practice Address: | 909 Lakeview Ave Milford, DE - 199631731 |
Business Phone Number: | 3024225506 |
Business Fax Number: | 3024225507 |
Mailing Address: | 909 Lakeview Ave, MILFORD |
State: | DE |
Postal Code: | 199631731 |
Phone Number: | 3024225506 |
Fax Number: | 3024225507 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C10006175 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |