Individual
REBECCA MARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 SMITH ST, PROVIDENCE, RI 02908
(401) 456-2000
(401) 751-3985
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
(401) 751-3985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11915
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD11915
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31001-7
BLUE CROSS OF RI
RI
01
—
412997
BLUE CHIP OF RI
RI
05
—
7058083
—
RI
Enumeration date
02/15/2006
Last updated
02/10/2020
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