Individual
MR. KEVIN S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 530-3618
Mailing address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 212-1171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MP00777
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222606262
HORIZON BCBS
NJ
Enumeration date
12/30/2005
Last updated
03/13/2013
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