Healthcare Provider Details
I. General information
NPI: 1871555771
Provider Name (Legal Business Name): STEVEN H BROWN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/05/2006
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
440 NEW BRITAIN AVE STE 1
PLAINVILLE CT
06062-2036
US
IV. Provider business mailing address
440 NEW BRITAIN AVE STE 1
PLAINVILLE CT
06062-2036
US
V. Phone/Fax
- Phone: 860-826-3880
- Fax: 860-826-3883
- Phone: 860-826-3880
- Fax: 860-826-3883
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208C00000X |
| Taxonomy | Colon & Rectal Surgery Physician |
| License Number | 036557 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: