Provider Demographics
NPI:1699771394
Name:BROWN, JANINE R (MD)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:R
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANINE
Other - Middle Name:R
Other - Last Name:ZINZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 791128
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-1128
Mailing Address - Country:US
Mailing Address - Phone:703-391-2030
Mailing Address - Fax:703-273-3943
Practice Address - Street 1:6201 CENTREVILLE RD
Practice Address - Street 2:100
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2446
Practice Address - Country:US
Practice Address - Phone:703-263-9600
Practice Address - Fax:703-266-1452
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101233489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA139311OtherANTHEM
VA010072409Medicaid
VA015789F22Medicare ID - Type Unspecified
H73899Medicare UPIN