Charles Richard Brown, PA-C
Physician Assistant, Medical in Baltimore, MD. Individual provider (NPI-1).
NPI number1487803003
StatusActive
Last updated in NPPESSep 18, 2008
Details
- NPI
- 1487803003
- Entity type
- Individual (NPI-1)
- Name
- Charles Richard Brown
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2008
- Last updated
- Sep 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | Pending | MD | Yes |
Practice location
900 Caton Ave # 230Baltimore, MD 21229-5201
Phone 410-368-8902 · Fax 410-368-3534
Mailing address
900 Caton Ave # 230Baltimore, MD 21229-5201
Phone 410-368-8902 · Fax 410-368-3534
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