Individual
DR. SUSAN ROVAINE BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET, WHT 130, BOSTON, MA 02114-2696
(617) 726-2994
(617) 726-2994
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
53590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053590
TUFTS HEALTH PLAN
MA
05
—
6198015
—
MA
01
—
J04767
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
07/08/2007
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