Individual
CHRISTOPHER COLES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 KENYON AVE, STE #B3, WAKEFIELD, RI 02879
(401) 284-1808
(401) 284-1810
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043365
CT
207R00000X
Internal Medicine Physician
5301A
WY
207R00000X
Internal Medicine Physician
Primary
MD11957
RI
208M00000X
Hospitalist Physician
MD11957
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311984
BLUE CROSS BLUE SHIELD
RI
01
—
413098
BLUE CROSS BLUE SHIELD
RI
05
—
7058289
—
RI
Enumeration date
07/14/2006
Last updated
04/22/2008
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