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NPI Code Detail

MEDICARE: DR. ROBERT STANLEY BROWN SR. M.D., PHD

MEDICARE: DR. ROBERT STANLEY BROWN SR. M.D., PHD
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
12084F0202XForensic Psychiatry Physician0101018550VA

General Provider Information

NPI Number : 1366448334
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT STANLEY BROWN SR. M.D., PHD
Provider Business Mailing Address
First Line : 700 24TH ST
Second Line :
City : FORT LEE
State : VA
Zip : 23801-1716
Country : US
Telephone Number : 804-734-9942
Fax Number : 804-734-9188
Provider Business Practice Location Address
First Line : 700 24TH ST
Second Line :
City : FORT LEE
State : VA
Zip : 23801-1716
Country : US
Telephone Number : 894-734-9623
Fax Number : 804-734-9188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 04/14/2011

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