Provider Demographics
NPI:1144766627
Name:BROWN, CASEY MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:90 MATAWAN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2653
Mailing Address - Country:US
Mailing Address - Phone:732-441-7177
Mailing Address - Fax:732-441-7165
Practice Address - Street 1:329 GREENTREE RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9229
Practice Address - Country:US
Practice Address - Phone:856-228-7246
Practice Address - Fax:833-606-0168
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2024-04-17
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00427800363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant