Individual
MARK BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 STORRS RD, WILLIMANTIC, CT 06226-4012
(860) 423-7807
(860) 423-7393
Mailing address
126 GARDNER AVE, NEW LONDON, CT 06320-4348
(860) 938-1118
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
392
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598891855
—
CT
Enumeration date
06/16/2015
Last updated
06/16/2015
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