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Individual

MITCHELL LEE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
758 BROADWAY, BAYONNE, NJ 07002-3948
(201) 339-2220
(201) 339-3667
Mailing address
758 BROADWAY, BAYONNE, NJ 07002-3948
(201) 339-2220
(201) 339-3667

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05662800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110060995
RR MEDICARE
NJ
Enumeration date
08/25/2006
Last updated
08/13/2009
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