Individual
DR. MARYALLYSON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1610 MEDICAL DR STE 105, POTTSTOWN, PA 19464-3279
(484) 925-0500
(610) 432-0545
Mailing address
PO BOX 1109, OAKS, PA 19456-1109
(610) 482-4778
(610) 666-3310
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-068485-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017521440009
—
PA
01
—
0264802000
PERSONAL CHOICE
PA
01
—
30022539
KEYSTONE MERCY
PA
01
—
3942507
AETNA
PA
01
—
507297
HIGHMARK BLUE SHIELD
PA
01
—
G93641
UPIN
PA
Enumeration date
03/17/2006
Last updated
03/11/2020
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