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Individual

LINDA L BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-4000
(401) 427-7795
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2504
(401) 854-2519

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD12321
RI
208000000X
Pediatrics Physician
MD12321
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD12321
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001424340
CT
01
007059280
MEDICARE
RI
01
06/14/2007
NHPRI
RI
01
12/29/2008
TUFTS
RI
01
414116
BCBSRI
RI
01
939025129
RI MEDICARE GROUP NUMBER
RI
05
LB69165
RI
Enumeration date
11/22/2005
Last updated
08/20/2018
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