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NPI Code Detail

MEDICARE: TANYA BROWN MS, PA-C

MEDICARE:   TANYA  BROWN  MS, PA-C
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 AssistantAP 1726MA

General Provider Information

NPI Number : 1962502443
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA BROWN MS, PA-C
Provider Business Mailing Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1291
Country : US
Telephone Number : 978-459-2273
Fax Number :
Provider Business Practice Location Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1291
Country : US
Telephone Number : 978-459-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 05/20/2016

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Directions to “ TANYA BROWN MS, PA-C” Practice Location

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