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Individual

DR. MICHAEL T. BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 S 7TH AVE, SUITE 305, WEST READING, PA 19611-1410
(610) 374-7720
(610) 374-8852
Mailing address
301 S 7TH AVE, SUITE 305, WEST READING, PA 19611-1410
(610) 374-7720
(610) 374-8852

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD042962L
PA
2086X0206X
Surgical Oncology Physician
MD042962L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001288730001
PA
01
01143501
KEYSTONE SR. BLUE
PA
01
0511233000
KEYSTONE HEALTH PLAN EAST
PA
01
5870040
AETNA
PA
01
BR677678
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/13/2006
Last updated
03/06/2015
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