Individual
TIMOTHY A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2619 PENNSYLVANIA AVE STE 2, WEIRTON, WV 26062
(304) 723-3090
(304) 723-2576
Mailing address
2619 PENNSYLVANIA AVE STE 2, WEIRTON, WV 26062-3777
(304) 723-3090
(304) 723-2576
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10935
WV
207N00000X
Dermatology Physician
MD026005E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016868800001
—
PA
05
—
0070312000
—
WV
01
—
070000589
RAILROAD MEDICARE
PA
01
—
406012595
RAILROAD MEDICARE
WV
Enumeration date
03/20/2007
Last updated
07/22/2019
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