Owano M Pennycooke MD

NPI 1013150267 - Surgery - 208600000X

NPI Details
NPI 1013150267
Gender Male
Enumeration Date 04/16/2009
Last Updated 08/31/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
241 MONMOUTH RD
WEST LONG BRANCH NJ, 07764-1177, US
Phone (732) 403-2075
Fax
Business Location
206 HIDDEN DR
BLACKWOOD NJ, 08012-4432, US
Phone (856) 313-8849
Fax
Toxanomy
Taxonomy Code 208600000X
License State New Jersey
License Number 25MA08547000
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According to our database, Dr. Owano M Pennycooke MD NPI is 1013150267, taxonomy code is 208600000X and license number is 25MA08547000, license state is located at New Jersey. Owano M Pennycooke MD physically located at 241 Monmouth Rd, West Long Branch NJ, 07764-1177. NPI Number Owano M Pennycooke MD has the Individual type.

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1013150267 NPI number is provided on an as is basis without warranty of any kind. 1013150267 is maintained by the National Plan & Provider Enumeration System. The contents of Owano M Pennycooke MD are for informational purposes only.