Provider Demographics
NPI:1730124769
Name:BROWN, RALPH S (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:S
Last Name:BROWN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2435 W BELVEDERE AVE
Mailing Address - Street 2:SUITE 52
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5224
Mailing Address - Country:US
Mailing Address - Phone:410-601-8301
Mailing Address - Fax:410-601-9209
Practice Address - Street 1:2435 W BELVEDERE AVE
Practice Address - Street 2:SUITE 52
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5224
Practice Address - Country:US
Practice Address - Phone:410-601-8301
Practice Address - Fax:410-601-9209
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
MDD155642080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC57691Medicare UPIN