Matthew Brown, MD | |
132 S 10th St, Philadelphia, PA 19107-5244 | |
(808) 341-1123 | |
Not Available |
Full Name | Matthew Brown |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 132 S 10th St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518344472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD19570 (Hawaii) | Secondary |
208M00000X | Hospitalist | MD19570 (Hawaii) | Secondary |
208M00000X | Hospitalist | MD475268 (Pennsylvania) | Primary |
Entity Name | Jefferson University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Mailing Address | Practice Location Address |
---|---|
Matthew Brown, MD 1820 Spruce St Apt 1f, Philadelphia, PA 19103-6689 Ph: (808) 341-1123 | Matthew Brown, MD 132 S 10th St, Philadelphia, PA 19107-5244 Ph: (808) 341-1123 |
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