Provider Demographics
NPI:1366594913
Name:BROWN, CURTLAND CHESTER III (MD)
Entity type:Individual
Prefix:DR
First Name:CURTLAND
Middle Name:CHESTER
Last Name:BROWN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 MERIDEN AVE
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-3238
Mailing Address - Country:US
Mailing Address - Phone:860-621-0555
Mailing Address - Fax:860-621-8325
Practice Address - Street 1:55 MERIDEN AVE
Practice Address - Street 2:SUITE 1H
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-3238
Practice Address - Country:US
Practice Address - Phone:860-621-0555
Practice Address - Fax:860-621-8325
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CT027898207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB38517Medicare UPIN