Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | LP02864 | RI |
Y | 208600000X | Surgeon | LP02864 | RI |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD466588 | PA |
NPI | 1255778361 |
---|---|
Provider Name | Jonathan P Brower |
First Address | Pittsburgh, PA 15213-3125 |
Second Address | Pittsburgh, PA 15213-3125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2013 |
Last Update Date | 30/05/2019 |