Healthcare Provider Details

I. General information

NPI: 1366850208
Provider Name (Legal Business Name): ERIN M BROWNE P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ERIN M. GALLAGHER

II. Dates (important events)

Enumeration Date: 07/23/2014
Last Update Date: 05/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BECKS WOODS DR STE 100
BEAR DE
19701-3853
US

IV. Provider business mailing address

324 GREYBULL DR
BEAR DE
19701-2174
US

V. Phone/Fax

Practice location:
  • Phone: 866-862-2955
  • Fax: 302-836-4302
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC0005433
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0001197
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: