MEDICARE: DR. ROSALIND 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
1	2080P0205X	Pediatric Endocrinology Physician	43421	MA

General Provider Information

NPI Number	:	1629069273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALIND BROWN M.D.

Provider Business Mailing Address
First Line	:	12 FARM HILL RD
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-5553
Country	:	US
Telephone Number	:	508-653-0360
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 LONGWOOD AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-5724
Country	:	US
Telephone Number	:	617-919-2866
Fax Number	:	617-730-0244

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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