MEDICARE: CIARAN T. BROWNE, MD LLC

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
1	207RN0300X	Nephrology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	183N	OTHER		MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1649469784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIARAN T. BROWNE, MD LLC

Provider Business Mailing Address
First Line	:	9614 CORTLAND LN
Second Line	:
City	:	DUNKIRK
State	:	MD
Zip	:	20754-9702
Country	:	US
Telephone Number	:	410-414-2119
Fax Number	:	410-535-6555

Provider Business Practice Location Address
First Line	:	225 W DARES BEACH RD
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3123
Country	:	US
Telephone Number	:	410-414-2119
Fax Number	:	410-535-6555

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CIARAN THERESE BROWNE
Credential	:	MD
Telephone Number	:	410-414-2119

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	10/15/2007

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