Provider Demographics
NPI:1891130431
Name:BROWN, PRESTON SAEED SR (MED)
Entity Type:Individual
Prefix:MR
First Name:PRESTON
Middle Name:SAEED
Last Name:BROWN
Suffix:SR
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 HANCOCK DR APT 1
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1624
Mailing Address - Country:US
Mailing Address - Phone:856-397-6158
Mailing Address - Fax:
Practice Address - Street 1:1301 HANCOCK DR APT 1
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1624
Practice Address - Country:US
Practice Address - Phone:856-397-6158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2013-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports