Individual
LESLIE N BROWN
Active
Individual
LESLIE N BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002505
CT
363AS0400X
Surgical Physician Assistant
002505
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008030891
—
CT
01
—
9705626
AETNA
—
Enumeration date
09/14/2010
Last updated
01/03/2018
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