Provider Demographics
NPI:1790769172
Name:BROWN, WILLIAM J (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:200 MUNICIPAL DR
Mailing Address - Street 2:
Mailing Address - City:THORNDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19372-1058
Mailing Address - Country:US
Mailing Address - Phone:610-383-6300
Mailing Address - Fax:610-383-0114
Practice Address - Street 1:200 MUNICIPAL DR
Practice Address - Street 2:
Practice Address - City:THORNDALE
Practice Address - State:PA
Practice Address - Zip Code:19372-1016
Practice Address - Country:US
Practice Address - Phone:610-383-6300
Practice Address - Fax:610-383-0114
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2021-07-22
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Provider Licenses
StateLicense IDTaxonomies
PAOS004389L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF55658Medicare UPIN
PA160572D3UMedicare PIN