Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 25MA09230900 | NJ |
NPI | 1114136645 |
---|---|
Provider Name | Dr. Lloyd Garth Brown |
First Address | Newark, NJ 07103-2757 |
Second Address | Newark, NJ 07103-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 21/06/2013 |