Provider Demographics
NPI:1679779268
Name:BROWN, JAMES ELLIOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ELLIOTT
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-7204
Mailing Address - Country:US
Mailing Address - Phone:860-489-7314
Mailing Address - Fax:860-489-7213
Practice Address - Street 1:220 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-7204
Practice Address - Country:US
Practice Address - Phone:860-489-7314
Practice Address - Fax:860-489-7213
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0508172085R0202X
RIMD158482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology