Healthcare Provider Details

I. General information

NPI: 1003865031
Provider Name (Legal Business Name): ALLEN FINNEY BROWNE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 09/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 ANDREWS AVE
FALMOUTH ME
04105-1901
US

IV. Provider business mailing address

25 ANDREWS AVE
FALMOUTH ME
04105-1901
US

V. Phone/Fax

Practice location:
  • Phone: 773-332-6789
  • Fax:
Mailing address:
  • Phone: 773-332-6789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number036-111156
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number243656
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number35091414
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35091414
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: