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NPI Code Detail

MEDICARE: ELIZABETH J. BROWN MD

MEDICARE: ELIZABETH J. BROWN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD449453PA
2207Q00000XFamily Medicine PhysicianC1-0011458DE

General Provider Information

NPI Number : 1528389855
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH J. BROWN MD
Provider Business Mailing Address
First Line : 200 HYGEIA DRIVE
Second Line : CCHS PHYSICIAN CONTRACTING, SUITE 2300
City : NEWARK
State : DE
Zip : 19713-2049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 PHILADELPHIA PIKE
Second Line : CLAYMONT FAMILY MEDICIANE CENTER
City : CLAYMONT
State : DE
Zip : 19703-2430
Country : US
Telephone Number : 302-428-4110
Fax Number : 302-798-6672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2010
Last Update Date : 09/21/2015

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