Provider Demographics
NPI:1225208135
Name:BREWIN, JAMES PAUL (RN MSN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:BREWIN
Suffix:
Gender:M
Credentials:RN MSN
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Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:SOUTHERN STATE CORRECTIONAL FACILITY
Mailing Address - City:DELMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:08314-0150
Mailing Address - Country:US
Mailing Address - Phone:856-785-1300
Mailing Address - Fax:856-785-2074
Practice Address - Street 1:4295 RT 47
Practice Address - Street 2:SOUTHERN STATE CORRECTIONAL FACILITY
Practice Address - City:DELMONT
Practice Address - State:NJ
Practice Address - Zip Code:08314
Practice Address - Country:US
Practice Address - Phone:856-785-1300
Practice Address - Fax:856-785-2074
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NO10385300207R00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health