Doctor Name: | ROBERT JOSEPH PATOCCHI |
NPI Number: | 1639579253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A17775 |
Business Practice Address: | 10 Prestwick Ct Novato, CA - 949495841 |
Business Phone Number: | 4158834428 |
Business Fax Number: | |
Mailing Address: | 10 Prestwick Ct, NOVATO |
State: | CA |
Postal Code: | 949495841 |
Phone Number: | 4158834428 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2014 |
NPI Last Update Date: | 09/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A17775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |