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Individual

BERYL S BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1120 FIRST COLONIAL RD, SUITE 203, VIRGINIA BEACH, VA 23454-2418
(757) 481-4424
(757) 481-3820
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 481-4424
(757) 481-3820

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101053780
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007309872
VA
01
020046973
RAILROAD MEDICARE
01
1700252
UNITED HEALTHCARE
01
213059
CIGNA
01
253611
ANTHEM
01
35068
OPTIMA HEALTH PLAN
01
438550
MAMSI
01
5784157
GHI
01
5837203
AETNA
05
89064NP
NC
Enumeration date
06/06/2006
Last updated
01/06/2017
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