Individual
KENNETH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 KINGS HWY N, CHERRY HILL, NJ 08034-1919
(856) 651-7826
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101037485
VA
207P00000X
Emergency Medicine Physician
Primary
25MA04844900
NJ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
25MA04844900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164521084
—
VA
05
—
3810016306
—
WV
Enumeration date
09/21/2006
Last updated
08/03/2023
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