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NPI Code Detail

MEDICARE: TERESA M. BROWN MD

MEDICARE: TERESA M. BROWN MD
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
1207V00000XObstetrics & Gynecology Physician01042763AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972509115
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA M. BROWN MD
Provider Business Mailing Address
First Line : PO BOX 13059
Second Line :
City : BELFAST
State : ME
Zip : 04915-4021
Country : US
Telephone Number : 317-583-3022
Fax Number : 317-583-2199
Provider Business Practice Location Address
First Line : 3700 WASHINGTON AVE
Second Line : STE 2200
City : EVANSVILLE
State : IN
Zip : 47714-0541
Country : US
Telephone Number : 812-485-7111
Fax Number : 812-485-7919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/17/2021

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