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Individual
ROBERT THEODORE BROWN
Active
Individual
ROBERT THEODORE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
35048098
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA08710700
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
MD013629E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105237000
MEDICAID
WV
05
—
0498199
—
OH
01
—
64789233
MEDICAID
KY
01
—
MA08710700
STATE LICENSE
NJ
Enumeration date
07/05/2005
Last updated
04/22/2016
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