Provider Demographics
NPI:1629202247
Name:BROWN, MELANIE ANTONIETTA (MD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:ANTONIETTA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 OLD SHORT HILLS RD
Mailing Address - Street 2:APT 489
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1009
Mailing Address - Country:US
Mailing Address - Phone:973-325-0358
Mailing Address - Fax:
Practice Address - Street 1:115 OLD SHORT HILLS RD
Practice Address - Street 2:APT 489
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1009
Practice Address - Country:US
Practice Address - Phone:973-325-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program