Provider Demographics
NPI:1124024237
Name:BROWN, MICHELE D (MD)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16 COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2525
Mailing Address - Country:US
Mailing Address - Phone:203-858-7898
Mailing Address - Fax:203-323-0079
Practice Address - Street 1:53 OLD KINGS HIGHWAY NORTH
Practice Address - Street 2:SUITE 201
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4131
Practice Address - Country:US
Practice Address - Phone:203-353-1446
Practice Address - Fax:203-323-0079
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT024216207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001242164Medicaid
CTD02971Medicare UPIN
CT160000454Medicare ID - Type Unspecified