Healthcare Provider Details
I. General information
NPI: 1922546035
Provider Name (Legal Business Name): BROWERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2017
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4933 WABASH ST
METAIRIE LA
70001-1031
US
IV. Provider business mailing address
211 BOULEVARD OF THE AMERICAS SUITE 503
LAKEWOOD NJ
08701-1031
US
V. Phone/Fax
- Phone: 504-780-2766
- Fax:
- Phone: 732-307-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
HUDI
ALTER
Title or Position: CEO
Credential:
Phone: 732-307-8000