Provider Demographics
NPI:1861826521
Name:BROWN, GREGORY THOMAS II (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:THOMAS
Last Name:BROWN
Suffix:II
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 1:5440 MARINELLI RD
Mailing Address - Street 2:APT 251
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2500
Mailing Address - Country:US
Mailing Address - Phone:404-232-0948
Mailing Address - Fax:
Practice Address - Street 1:5440 MARINELLI RD
Practice Address - Street 2:APT 251
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2500
Practice Address - Country:US
Practice Address - Phone:404-232-0948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program