MEDICARE: DR. HOWARD L BROOKS 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
1	207N00000X	Dermatology Physician	MD32103	DC

General Provider Information

NPI Number	:	1568687739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD L BROOKS M.D.

Provider Business Mailing Address
First Line	:	2233 WISCONSIN AVE NW
Second Line	:	SUITE 230
City	:	WASHINGTON
State	:	DC
Zip	:	20007-4104
Country	:	US
Telephone Number	:	202-298-7546
Fax Number	:	202-298-7913

Provider Business Practice Location Address
First Line	:	2233 WISCONSIN AVE NW
Second Line	:	SUITE 230
City	:	WASHINGTON
State	:	DC
Zip	:	20007-4104
Country	:	US
Telephone Number	:	202-298-7546
Fax Number	:	202-298-7913

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2007
Last Update Date	:	07/08/2007

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