Individual
MR. THOMAS BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
139 RITCHIE HIGHWAY, SUITE B, SEVERNA PARK, MD 21146
(410) 544-7417
(410) 544-4408
Mailing address
139 RITCHIE HWY STE B, SEVERNA PARK, MD 21146-1152
(410) 544-7417
(410) 544-4408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2671
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA2671
LICENSE NUMBER
MD
Enumeration date
06/06/2019
Last updated
06/06/2019
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