MEDICARE: EDWARD P. BROWN, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1073811303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD P. BROWN, PC

Provider Business Mailing Address
First Line	:	10 W 46TH ST
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-4003
Country	:	US
Telephone Number	:	201-437-7878
Fax Number	:	201-437-1572

Provider Business Practice Location Address
First Line	:	10 W 46TH ST
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-4003
Country	:	US
Telephone Number	:	201-437-7878
Fax Number	:	201-437-1572

Authorized Official
Title or Position	:	PRESEIDENT
Name	:	DR. EDWARD P BROWN
Credential	:	D.C
Telephone Number	:	201-437-7878

Provider Enumeration Date	:	03/10/2011
Last Update Date	:	03/10/2011

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