MEDICARE: MS. MELINDA SUSAN BROWN PA-C

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	363A00000X	Physician Assistant	2173	NH
2	363A00000X	Physician Assistant	25MP00998400	NJ

General Provider Information

NPI Number	:	1497234983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELINDA SUSAN BROWN PA-C

Provider Business Mailing Address
First Line	:	1 FEDERAL ST STE 200
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1088
Country	:	US
Telephone Number	:	848-288-6935
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 FELLOWSHIP RD STE 101
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-3419
Country	:	US
Telephone Number	:	856-642-2133
Fax Number	:

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

Provider Enumeration Date	:	08/07/2018
Last Update Date	:	05/29/2026

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