Individual
LESLIE N BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
79 WAWECUS ST, STE. 101, NORWICH, CT 06360-2160
(860) 886-2655
(860) 886-2655
Mailing address
79 WAWECUS ST, STE. 101, NORWICH, CT 06360-2160
(860) 886-2655
(860) 886-2655
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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