Individual
JAYNE HENDERSON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 744-1302
(215) 744-2544
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD044009E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006525620001
—
PA
Enumeration date
06/06/2006
Last updated
03/22/2012
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