Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 238737 | MA |
NPI | 1043456510 |
---|---|
Provider Name | Daniel R Brown |
First Address | Brookline, MA 02446-4906 |
Second Address | Boston, MA 02115-5727 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2009 |
Last Update Date | 05/01/2009 |