Provider Demographics
NPI:1528389855
Name:BROWN, ELIZABETH J (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:BROWN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2401 PHILADELPHIA PIKE
Practice Address - Street 2:CLAYMONT FAMILY MEDICIANE CENTER
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-2430
Practice Address - Country:US
Practice Address - Phone:302-428-4110
Practice Address - Fax:302-798-6672
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2015-09-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD449453207Q00000X
DEC1-0011458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRES-000Medicare UPIN