Individual
DR. VASUMATHI KEITH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD., LADC-1
Contact information
Practice address
49 CENTRAL ST STE UNITB, HOLLISTON, MA 01746-2103
(978) 710-9877
(888) 488-2940
Mailing address
2308 S HOPKINS AVE, TITUSVILLE, FL 32780-4727
(978) 219-9049
(888) 488-2940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16721
MA
202C00000X
Independent Medical Examiner Physician
207994
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
207994
MA
207QA0401X
Addiction Medicine (Family Medicine) Physician
207994
MA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
207994
MA
208D00000X
General Practice Physician
207994
MA
208M00000X
Hospitalist Physician
207994
MA
208VP0014X
Interventional Pain Medicine Physician
207994
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025710
—
MA
01
—
AA38478
HARVARD PILGRIM HEALTH CA
—
01
—
J28547
BLUE CROSS BLUE SHIELD
—
01
—
P00716212
RAILROAD MEDICARE
MA
Enumeration date
05/31/2006
Last updated
01/02/2024
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