Provider Demographics
NPI:1386629160
Name:BROWN, STEVEN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WASHINGTON PL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6743
Mailing Address - Country:US
Mailing Address - Phone:603-471-1634
Mailing Address - Fax:603-471-1638
Practice Address - Street 1:20 WASHINGTON PLACE
Practice Address - Street 2:SUITE 2
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6076
Practice Address - Country:US
Practice Address - Phone:603-471-1634
Practice Address - Fax:603-471-1638
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8438174400000X
CT028524174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0103959Y0NH01OtherANTHEM
727194OtherTUFTS
100982800OtherDEPT OF LABOR
6507OtherCIGNA
6507OtherCIGNA
727194OtherTUFTS