Diana Brown,MD, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD023816E Issued in PA

Legal business name

DIANA BROWN,MD, LLC

Practice address

8200 Flourtown Ave
Suite 13
Wyndmoor, PA 19038-7976

Phone

(215) 233-0506

Fax

(610) 527-3693

NPI assigned

Sep 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Diana Brown, M.D.

Title

President and Member

Phone

(215) 233-0506

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1629302880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 13",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-0506",
            "fax_number": "610-527-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 13",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-0506",
            "fax_number": "610-527-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA BROWN,MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT AND MEMBER",
        "authorized_official_telephone_number": "215-233-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD023816E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramesh Conley, PHD
• Maura Coulter, CRNP
• Margaret M Currie, CRNP
• Andrea Mayer Decasere
• Holly C. Dender, OTR/L
• Tracy Ann Difonzo, LCSW
• Brian C Dressler, D.C.
• Jenna Dubose, MS
• Susan V. Duff, EDD, PT, OT, CHT
• Joanne Fagerstrom, PT

• Dermatology Physician in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.