Organization
GI SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A BROWN D.O. (PARTNER)
(973) 877-2580
Entity
Organization
Contact information
Practice address
306 MARTIN LUTHER KING JR BLVD, 4TH FLOOR, NEWARK, NJ 07102-2011
(973) 877-2580
Mailing address
306 MARTIN LUTHER KING JR BLVD, 4TH FLOOR, NEWARK, NJ 07102-2011
(973) 877-2580
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K2499
COMMERCIAL
NJ
Enumeration date
03/01/2007
Last updated
08/22/2020
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