Provider Demographics
NPI:1063780773
Name:BROWN, ANTHONY (CT-AD)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:CT-AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3680 WARWICK RD
Mailing Address - Street 2:WARIWICK MANOR BEHAVIOR HEALTH
Mailing Address - City:EAST NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21631
Mailing Address - Country:US
Mailing Address - Phone:410-943-8108
Mailing Address - Fax:
Practice Address - Street 1:3680 WARWICK RD
Practice Address - Street 2:WARWICK MANOR BEHAVIOR HEALTH
Practice Address - City:EAST NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21631
Practice Address - Country:US
Practice Address - Phone:410-943-8108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)