Individual
GARTH ALLAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5906
(339) 223-2823
Mailing address
730 EASTERN AVE, MALDEN, MA 02148-5906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587
—
MA
Enumeration date
12/28/2017
Last updated
12/28/2017
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