Healthcare Provider Details

I. General information

NPI: 1003970781
Provider Name (Legal Business Name): CHARLENE BROWNE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31/32 A TROLLEY SQUARE
WILMINGTON DE
19806
US

IV. Provider business mailing address

31-32 A TROLLEY SQUARE
WILMINGTON DE
19806
US

V. Phone/Fax

Practice location:
  • Phone: 302-777-5473
  • Fax:
Mailing address:
  • Phone: 302-777-5473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberC1-0010122
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: