Doctor Name: | DAVID J BROWN |
NPI Number: | 1053374173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD00121900 |
Business Practice Address: | 525 Route 73 S Suite 304 Marlton, NJ - 080539642 |
Business Phone Number: | 8569835144 |
Business Fax Number: | |
Mailing Address: | 525 Route 73 S, Suite 304 MARLTON |
State: | NJ |
Postal Code: | 080539642 |
Phone Number: | 8569835144 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 25MD00121900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |