Provider Demographics
NPI:1285963801
Name:BROWN, AVROM STEWART (DO)
Entity type:Individual
Prefix:DR
First Name:AVROM
Middle Name:STEWART
Last Name:BROWN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8304 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2102
Mailing Address - Country:US
Mailing Address - Phone:215-913-7892
Mailing Address - Fax:215-782-8983
Practice Address - Street 1:8304 CEDAR RD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2102
Practice Address - Country:US
Practice Address - Phone:215-913-7892
Practice Address - Fax:215-782-8983
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003255L207Q00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine