Provider Demographics
NPI:1063400323
Name:BROWN, JOHN M (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3131 COLLEGE HEIGHTS BLVD.
Mailing Address - Street 2:GASTROENTEROLOGY ASSOCIATES, LTD.
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4858
Mailing Address - Country:US
Mailing Address - Phone:610-439-8551
Mailing Address - Fax:610-439-4021
Practice Address - Street 1:185 ROSEBERRY ST
Practice Address - Street 2:WARREN HOSPITAL
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1690
Practice Address - Country:US
Practice Address - Phone:908-859-6750
Practice Address - Fax:908-859-6849
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2007-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04033100207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3822001Medicaid
D19588Medicare UPIN
PA162112HPVMedicare PIN
NJ403318Medicare ID - Type Unspecified
PA449251Medicare PIN