Individual
JEFFREY M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 200, HARTFORD, CT 06106-5501
(860) 289-3375
(860) 783-5733
Mailing address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 289-3375
(860) 783-5733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
025828
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258284
—
CT
01
—
300003146
MEDICARE ID
CT
Enumeration date
11/18/2005
Last updated
01/15/2010
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