Individual
BARRETT BOLTON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3289 WOODBURN ROAD, SUITE #220, ANNANDALE, VA 22003
(703) 698-1080
(703) 698-1082
Mailing address
PO BOX 221322, CHANTILLY, VA 20153-1322
(703) 776-2368
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101047808
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006644732
—
VA
01
—
220018829
RAILROAD MEDICARE
VA
Enumeration date
07/28/2005
Last updated
06/30/2014
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