Individual
CHARLES E BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-2903
(413) 794-3520
Mailing address
24 SWAN HILL DR, SPRINGFIELD, MA 01129-2020
(413) 783-8361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN251076
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN251076
MA
Other
Enumeration date
07/19/2021
Last updated
08/17/2022
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