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Individual

DR. JEFFREY R BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
445 SOUTH MAIN STREET, WEST HARTFORD, CT 06110
(860) 561-7111
(860) 561-7272
Mailing address
445 SOUTH MAIN STREET, WEST HARTFORD, CT 06110
(860) 561-7111
(860) 561-7272

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
041435
CT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
041435
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001414359
CT
Enumeration date
06/02/2005
Last updated
10/19/2021
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