Provider Demographics
NPI:1518286970
Name:BROWN, JUSTIN THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:THOMAS
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12210 PLUM ORCHARD DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7800
Mailing Address - Country:US
Mailing Address - Phone:301-622-6020
Mailing Address - Fax:301-680-9335
Practice Address - Street 1:12210 PLUM ORCHARD DR
Practice Address - Street 2:SUITE 212
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7800
Practice Address - Country:US
Practice Address - Phone:301-622-6020
Practice Address - Fax:301-680-9335
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2016-06-16
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Provider Licenses
StateLicense IDTaxonomies
MDD0070977207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine