Individual
DR. RICHARD SAMUEL BROWN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14 CONCORD AVE, SUITE 203, CAMBRIDGE, MA 02138-2356
(617) 864-2577
Mailing address
14 CONCORD AVE, SUITE 203, CAMBRIDGE, MA 02138-2356
(617) 864-2577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000X03835
BCBSMA
MA
Enumeration date
02/20/2008
Last updated
02/20/2008
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