Healthcare Provider Details

I. General information

NPI: 1578501037
Provider Name (Legal Business Name): DENNIS P. BROWN SURGICAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 LEONARD AVE SUITE 301
WASHINGTON PA
15301-3368
US

IV. Provider business mailing address

95 LEONARD AVE SUITE 301
WASHINGTON PA
15301-3368
US

V. Phone/Fax

Practice location:
  • Phone: 724-225-7300
  • Fax: 724-225-4759
Mailing address:
  • Phone: 724-225-7300
  • Fax: 724-225-4759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE A MOLINARO
Title or Position: BUSINESS MANAGER
Credential:
Phone: 724-225-7300