Provider Demographics
NPI:1043755275
Name:BROWN, DANIEL ANANE (DR)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ANANE
Last Name:BROWN
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 AMBERLY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1511
Mailing Address - Country:US
Mailing Address - Phone:732-485-2922
Mailing Address - Fax:
Practice Address - Street 1:47 AMBERLY CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:NJ
Practice Address - Zip Code:08823-1511
Practice Address - Country:US
Practice Address - Phone:732-485-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-25
Last Update Date:2016-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI038408001835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist