Individual
MRS. RUTH LYNNE CLARK-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 CENTRAL AVE., EAST ORANGE, NJ 07018
(973) 674-3500
(973) 678-6319
Mailing address
240 CENTRAL AVE., EAST ORANGE, NJ 07018
(973) 674-3500
(973) 678-6319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA56498
NJ
2084N0400X
Neurology Physician
Primary
MA56498
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135853
MEDICARE GROUP
NJ
01
—
280330501
MEDICAID GROUP
NJ
05
—
5069408
—
NJ
Enumeration date
12/06/2006
Last updated
03/03/2011
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