MEDICARE: DR. NORMAN ADAM BROWN M.D.

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	207P00000X	Emergency Medicine Physician	MD429786	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P00349926	OTHER	MD	RAILROAD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184769432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN ADAM BROWN M.D.

Provider Business Mailing Address
First Line	:	1011 CHESTNUT ST
Second Line	:	APT 1006W
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-1421
Country	:	US
Telephone Number	:	215-620-9116
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 CHESTNUT ST
Second Line	:	APT 1006W
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-1421
Country	:	US
Telephone Number	:	215-620-9116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	02/15/2008

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