Provider Demographics
NPI:1053371203
Name:BROWN, COLIN CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:CHRISTOPHER
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 SCHANCK RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3068
Mailing Address - Country:US
Mailing Address - Phone:732-577-1999
Mailing Address - Fax:732-845-5356
Practice Address - Street 1:222 SCHANCK RD
Practice Address - Street 2:SUITE 302
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3068
Practice Address - Country:US
Practice Address - Phone:732-577-1999
Practice Address - Fax:732-845-5356
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08764000207RG0100X
ALMD28099207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology