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NPI Code Detail

MEDICARE: ELIZABETH A BROWNE CONWAY PAC

MEDICARE: ELIZABETH A BROWNE CONWAY PAC
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
1363A00000XPhysician AssistantC0002881MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CJ3091OTHERMDMEDICARE RAILROAD GROUP

General Provider Information

NPI Number : 1528047537
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A BROWNE CONWAY PAC
Provider Business Mailing Address
First Line : PO BOX 7356
Second Line :
City : LANCASTER
State : PA
Zip : 17604-7356
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 BOW ST
Second Line :
City : ELKTON
State : MD
Zip : 21921-5544
Country : US
Telephone Number : 410-398-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 06/24/2013

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Directions to “ ELIZABETH A BROWNE CONWAY PAC” Practice Location

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