Individual
JEFFREY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26840 POINT LOOKOUT RD, LEONARDTOWN, MD 20650
(301) 475-8885
(301) 884-7419
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0042597
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080173709
MEDICARE RAILROAD
MD
05
—
411300400
—
MD
Enumeration date
07/12/2006
Last updated
01/20/2015
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