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NPI Code Detail

MEDICARE: DR. RODERICK EUGENE BROWN M.D.

MEDICARE: DR. RODERICK EUGENE BROWN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD067301LPA

General Provider Information

NPI Number : 1104933779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODERICK EUGENE BROWN M.D.
Provider Business Mailing Address
First Line : 102 ANNABEL RD.
Second Line :
City : NORTH WALES
State : PA
Zip : 19454
Country : US
Telephone Number : 215-619-0389
Fax Number : 215-619-3618
Provider Business Practice Location Address
First Line : 123 W GERMANTOWN PIKE
Second Line : SUITE 2
City : EAST NORRITON
State : PA
Zip : 19401-1382
Country : US
Telephone Number : 610-278-7455
Fax Number : 610-278-7457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 02/10/2015

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