Provider Demographics
NPI:1477594703
Name:BROWN, HAROLD J (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1230 PARKWAY AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08628
Mailing Address - Country:US
Mailing Address - Phone:609-771-0404
Mailing Address - Fax:609-538-8934
Practice Address - Street 1:1230 PARKWAY AVE
Practice Address - Street 2:STE 105
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08628
Practice Address - Country:US
Practice Address - Phone:609-771-0404
Practice Address - Fax:609-538-8934
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2010-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA42792207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3231704Medicaid
NJ3231704Medicaid
D19211Medicare UPIN