Healthcare Provider Details

I. General information

NPI: 1700862737
Provider Name (Legal Business Name): ADAM S BROWNSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 FEDERAL ST
MILTON DE
19968-1157
US

IV. Provider business mailing address

611 FEDERAL ST
MILTON DE
19968-1157
US

V. Phone/Fax

Practice location:
  • Phone: 302-329-9616
  • Fax: 302-422-6214
Mailing address:
  • Phone: 302-329-9616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC10006979
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: