Individual
MR. CHARLES RICHARD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9401 MCKNIGHT RD, SUITE 107, PITTSBURGH, PA 15237-6000
(412) 366-1528
(412) 366-1529
Mailing address
1012 WATER ST, MEADVILLE, PA 16335-3468
(412) 823-4510
(412) 823-4517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OSO12819
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00167046
UNISON
PA
05
—
1012679570001
—
PA
01
—
1546540
GATEWAY
PA
01
—
1695761
BLUE CROSS
PA
01
—
251309256
DEVON
PA
01
—
3729607
AETNA
PA
05
—
410863
—
PA
Enumeration date
11/01/2006
Last updated
10/30/2009
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