Provider Demographics
NPI:1033686225
Name:BROWN, TONY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:TONY
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 BARDEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03244-5108
Mailing Address - Country:US
Mailing Address - Phone:267-973-6156
Mailing Address - Fax:
Practice Address - Street 1:127 BARDEN HILL RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03244-5108
Practice Address - Country:US
Practice Address - Phone:267-973-6156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-26
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst