Individual
CHARLES BROWN
Active
Individual
CHARLES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
110767
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
110767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245950
—
NY
01
—
0667910001
DME
NY
01
—
700002792
MEDICARE RAILROAD
NY
Enumeration date
05/19/2006
Last updated
05/15/2008
Update your record
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