Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | C1-0010122 | DE |
NPI | 1003970781 |
---|---|
Provider Name | Charlene Browne |
First Address | Wilmington, DE 19806 |
Second Address | Wilmington, DE 19806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 13/10/2015 |