Provider Demographics
NPI:1528262805
Name:BROWN, PATRICIA S (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 COUNTY RD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2200
Mailing Address - Country:US
Mailing Address - Phone:201-541-8080
Mailing Address - Fax:201-541-8084
Practice Address - Street 1:155 COUNTY RD
Practice Address - Street 2:SUITE 18
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-2200
Practice Address - Country:US
Practice Address - Phone:201-541-8080
Practice Address - Fax:201-541-8084
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA081398002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry