Provider Demographics
NPI:1710010814
Name:BROWNELL, ISAAC (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:BROWNELL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DRIVE 13N202
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1908
Mailing Address - Country:US
Mailing Address - Phone:301-496-6770
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DRIVE 13N202
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1908
Practice Address - Country:US
Practice Address - Phone:301-496-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2016-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233893207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology