SearchNew Jersey101YM0800X

Phillip Brown

NPI 1194534891 · on the registry since 2025 · sole proprietor

Practice

Address
619 S 17th St
Newark, NJ 07103
Phone
(973) 374-2570

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey