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Individual

PAUL BENEDICT BROWN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 CENTRAL AVE STE 500, NEW PROVIDENCE, NJ 07974-1505
(908) 795-1192
(908) 795-1193
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MB10871400
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/29/2014
Last updated
11/18/2020
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