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Individual

DR. RONALD STEPHEN BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4400 JENIFER ST NW STE 270, WASHINGTON, DC 20015-2113
(202) 964-9400
Mailing address
2206 N NELSON ST, ARLINGTON, VA 22207-3841
(703) 528-2816

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2923
DC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4170
VA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
5621
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11689844
CAQH PROVIDER NUMBER
DC
Enumeration date
05/08/2007
Last updated
07/09/2007
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