Individual
GARY C. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1560
(800) 331-6634
(267) 420-1360
Mailing address
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1560
(267) 420-1375
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MA39672
NJ
207W00000X
Ophthalmology Physician
Primary
MD018669E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007928600001
—
PA
05
—
488957905J
—
NJ
Enumeration date
05/04/2006
Last updated
05/12/2015
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