Provider Information for 1699048900
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ANDREA BROWN
Sex: Female
NPI: 1699048900
Last Updated: 2021-05-27
Certification Date: 2021-05-27
Certification Date: 2021-05-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699048900 | ||||||||
| Enumeration Date | 2012-02-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 211 WILLOW DR MONROEVILLE, PA 15146-4552 United States Phone: 412-916-9549 | Fax:412-675-8920 | ||||||||
| Primary Practice Address | 331 SHAW AVE MCKEESPORT, PA 15132-2918 United States Phone: 412-675-8533 | Fax:412-675-8920 | ||||||||
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