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Individual

DR. LOUIS ALFRED BROWN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6326 RISING SUN AVE, PHILADELPHIA, PA 19111-5630
(215) 745-9794
(215) 745-3775
Mailing address
6326 RISING SUN AVE, PHILADELPHIA, PA 19111-5630
(215) 745-9794
(215) 745-3775

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MD 032402-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001070126
PA
Enumeration date
03/15/2007
Last updated
07/12/2010
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