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NPI Code Detail

MEDICARE: SHANNON S BROWN M.D.

MEDICARE:   SHANNON S 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
1207P00000XEmergency Medicine PhysicianMD062635LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1670295OTHERPAHIGHMARK BS

General Provider Information

NPI Number : 1891747218
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON S BROWN M.D.
Provider Business Mailing Address
First Line : 40 RAYNHAM RD
Second Line :
City : MERION STATION
State : PA
Zip : 19066-1818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER BLVD
Second Line :
City : UPLAND
State : PA
Zip : 19013-3995
Country : US
Telephone Number : 610-447-6254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 10/25/2017

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Directions to “ SHANNON S BROWN M.D.” Practice Location

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