Doctor Name: | SAM I BROWN |
NPI Number: | 1366521130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA26695 |
Business Practice Address: | 785 Totowa Rd Totowa, NJ - 075121517 |
Business Phone Number: | 9739040890 |
Business Fax Number: | 9739040695 |
Mailing Address: | 785 Totowa Rd, TOTOWA |
State: | NJ |
Postal Code: | 075121517 |
Phone Number: | 9739040890 |
Fax Number: | 9739040695 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0203X |
License Number: | MA26695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Therapeutic Radiology |
Taxonomy Definition: |