Individual
DR. TANILLA LOUISE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD/MPH
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52199
CT
208000000X
Pediatrics Physician
52199
CT
Other
Enumeration date
07/13/2009
Last updated
02/18/2019
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