MEDICARE: HERBERT N BROWN M.D.

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	2084P0800X	Psychiatry Physician	34789	MA

General Provider Information

NPI Number	:	1801911748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT N BROWN M.D.

Provider Business Mailing Address
First Line	:	303 HIGHLAND AVE
Second Line	:
City	:	WEST NEWTON
State	:	MA
Zip	:	02465-2513
Country	:	US
Telephone Number	:	617-969-3332
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 HIGHLAND AVE
Second Line	:
City	:	WEST NEWTON
State	:	MA
Zip	:	02465-2513
Country	:	US
Telephone Number	:	617-969-3332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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