Provider Demographics
NPI:1083509582
Name:PATER, JOANNA (MD)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:
Last Name:PATER
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 1:12074 240TH STREET
Mailing Address - Street 2:
Mailing Address - City:MAPLE RIDGE
Mailing Address - State:BC
Mailing Address - Zip Code:V4R 1N1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MEDSTAR FRANKLIN SQUARE HOSPITAL
Practice Address - Street 2:9000 FRANKLIN SQUARE DRIVE, DEPT OF PSYCHIATRY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:443-777-7000
Practice Address - Fax:855-350-5311
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program