Provider Demographics
NPI:1649469784
Name:CIARAN T. BROWNE, MD LLC
Entity type:Organization
Organization Name:CIARAN T. BROWNE, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CIARAN
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-414-2119
Mailing Address - Street 1:9614 CORTLAND LN
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:MD
Mailing Address - Zip Code:20754-9702
Mailing Address - Country:US
Mailing Address - Phone:410-414-2119
Mailing Address - Fax:410-535-6555
Practice Address - Street 1:225 W DARES BEACH RD
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3123
Practice Address - Country:US
Practice Address - Phone:410-414-2119
Practice Address - Fax:410-535-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
183NOtherMEDICARE GROUP NUMBER