Individual
CATHERINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
330 WESTERN BLVD, GLASTONBURY, CT 06033-4383
(860) 246-2071
(860) 633-2466
Mailing address
330 WESTERN BLVD, GLASTONBURY, CT 06033-4383
(860) 246-2071
(860) 633-2466
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001545
CT
363AS0400X
Surgical Physician Assistant
Primary
001545
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010545
CONNECTICARE
CT
01
—
1124031737
ANTHEM
CT
Enumeration date
08/14/2006
Last updated
10/02/2013
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