Provider Demographics
NPI:1568685246
Name:BROWN, LEON EDWARD SR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:EDWARD
Last Name:BROWN
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7610 CARROLL AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6384
Mailing Address - Country:US
Mailing Address - Phone:301-455-7546
Mailing Address - Fax:301-270-5402
Practice Address - Street 1:7610 CARROLL AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6384
Practice Address - Country:US
Practice Address - Phone:301-455-7546
Practice Address - Fax:301-270-5402
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2008-05-28
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Provider Licenses
StateLicense IDTaxonomies
MDD20893207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC080945Medicare PIN