Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 35061375 | OH |
NPI | 1528051661 |
---|---|
Provider Name | Dr. Cynthia L Brown |
First Address | Cleveland, OH 44115-3111 |
Second Address | Cleveland, OH 44115-3111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 04/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000333701 | ANTHEM BCBS (01) | OH |
0933879 | (05) | OH |
341924447033 | CARESOURCE (01) | OH |
F60570 | (02) | OH |
P00106906 | RAILROAD MEDICARE (01) | OH |