Provider Demographics
NPI:1275673741
Name:BROWNSTEIN, STEVEN PAUL (MD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PAUL
Last Name:BROWNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6966
Mailing Address - Country:US
Mailing Address - Phone:908-687-2552
Mailing Address - Fax:908-687-6556
Practice Address - Street 1:950 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6966
Practice Address - Country:US
Practice Address - Phone:908-687-2552
Practice Address - Fax:908-687-6556
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23294261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0027472Medicaid
NJ2K2844OtherHEALTH NET
NJ2K2844OtherHEALTH NET
NJD19441Medicare UPIN