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Individual

ROBERT THEODORE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 COOPER PLZ, SUITE 200, CAMDEN, NJ 08103-1438
(856) 342-2001
(856) 968-8206
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2241
(856) 968-7965

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
35048098
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA08710700
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
MD013629E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0105237000
MEDICAID
WV
05
0498199
OH
01
64789233
MEDICAID
KY
01
MA08710700
STATE LICENSE
NJ
Enumeration date
07/05/2005
Last updated
04/22/2016
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