Individual
DR. EDWARD JAMES BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
865A WALTON AVE, STORE FRONT, BRONX, NY 10451-5441
(718) 292-9200
(718) 292-9205
Mailing address
865-A WALTON AVE, STORE FRONT, BRONX, NY 10451
(718) 292-9200
(718) 292-9205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
147523
NY
207RC0000X
Cardiovascular Disease Physician
Primary
147523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00645987
—
NY
Enumeration date
09/27/2005
Last updated
11/13/2015
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