Provider Demographics
NPI:1992936942
Name:BROWN, JEFFREY G (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:G
Last Name:BROWN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:535 E CRESCENT AVE
Mailing Address - Street 2:C/O HISTOPATHOLOGY SERVICES, LLC
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2922
Mailing Address - Country:US
Mailing Address - Phone:201-661-7280
Mailing Address - Fax:201-661-7297
Practice Address - Street 1:156 ROUTE 59, SUITE C6
Practice Address - Street 2:C/O HISTOPATHOLOGY SERVICES, LLC
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901
Practice Address - Country:US
Practice Address - Phone:845-369-4200
Practice Address - Fax:201-661-7297
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2013-09-25
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Provider Licenses
StateLicense IDTaxonomies
CAC53046207ZP0102X
NY254768207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology