Individual
CASSIUS MARCELLOUS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5058 CITY AVE, PHILADELPHIA, PA 19131
(215) 921-6369
Mailing address
5058 CITY AVE, PHILADELPHIA, PA 19131
(215) 921-6369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057515
PA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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