Healthcare Provider Details

I. General information

NPI: 1033686225
Provider Name (Legal Business Name): TONY BROWN MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 11/06/2024
Certification Date: 11/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 BARDEN HILL RD
HILLSBOROUGH NH
03244-5108
US

IV. Provider business mailing address

127 BARDEN HILL RD
HILLSBOROUGH NH
03244-5108
US

V. Phone/Fax

Practice location:
  • Phone: 267-973-6156
  • Fax:
Mailing address:
  • Phone: 267-973-6156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: