Provider Demographics
NPI:1073811303
Name:EDWARD P. BROWN, PC
Entity Type:Organization
Organization Name:EDWARD P. BROWN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-437-7878
Mailing Address - Street 1:10 W 46TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4003
Mailing Address - Country:US
Mailing Address - Phone:201-437-7878
Mailing Address - Fax:201-437-1572
Practice Address - Street 1:10 W 46TH ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4003
Practice Address - Country:US
Practice Address - Phone:201-437-7878
Practice Address - Fax:201-437-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty