Provider Demographics
NPI:1689878647
Name:MATRICE W BROWNE MD LLC
Entity Type:Organization
Organization Name:MATRICE W BROWNE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATRICE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-774-9662
Mailing Address - Street 1:2911 OLNEY SANDY SPRING RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1530
Mailing Address - Country:US
Mailing Address - Phone:301-774-9662
Mailing Address - Fax:301-774-9667
Practice Address - Street 1:2911 OLNEY SANDY SPRING RD
Practice Address - Street 2:SUITE C
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1530
Practice Address - Country:US
Practice Address - Phone:301-774-9662
Practice Address - Fax:301-774-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0036408207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1386626802OtherNPI