Individual
CAROLYN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 REECEVILLE RD, COATESVILLE, PA 19320-1542
(610) 383-8518
Mailing address
3961 TERRACE ST, PHILADELPHIA, PA 19128-5233
(267) 385-7744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052646
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
02/26/2007
Last updated
09/22/2014
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