Brown, Robert Theodore

Brown, Robert Theodore is an individual health care provider with primary practice located at 3 Cooper Plz Suite 200, Camden NJ 08103-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Brown, Robert Theodore can be contacted via phone (856) 342-2001.

Contact Information

Primary practice address
3 Cooper Plz Suite 200 Camden NJ 08103-1438
Phone: (856) 342-2001
Fax: (856) 968-8206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 35048098 Ohio
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD013629E Pennsylvania
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA08710700 New Jersey

Profile Details

NPI number 1962409037
LBN Legal business name Brown, Robert Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Apr 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962409037 NPPES
Kentucky Other 64789233 MEDICAID
Kentucky MEDICAID 0498199 MEDICAID
Kentucky Other MA08710700 MEDICAID
Kentucky Other 0105237000 MEDICAID

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