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Individual

MARK J BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
(215) 349-5579
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
(215) 349-5579

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD015829E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008921220001
PA
Enumeration date
07/10/2006
Last updated
08/21/2015
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