Dr. Owano M Pennycooke
Surgeon Vascular Surgeon
241 Monmouth Rd
West Long Branch
, New Jersey 07764-1177
Dr. Owano M Pennycooke
Surgeon Vascular Surgeon
241 Monmouth Rd
West Long Branch
, New Jersey 07764-1177
(856) 313-8849
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Owano M Pennycooke
- 206 Hidden Dr
- Blackwood, NJ
- Zip : 08012-4432
- Phone : (856) 313-8849
Second Address
- Dr. Owano M Pennycooke
- 241 Monmouth Rd
- West Long Branch, NJ
- Zip : 07764-1177
- Phone : (732) 403-2075
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FAQs
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Is Dr. Owano M Pennycooke a sole practitioner?
Is Dr. Owano M Pennycooke accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 25MA08547000 | NJ |
| N | 208600000X | Surgeon | 25MA08547000 | NJ |
| Y | 2086S0129X | Vascular Surgeon | 25MA08547000 | NJ |
National Provider Identifier
| NPI | 1013150267 |
|---|---|
| Provider Name | Dr. Owano M Pennycooke |
| First Address | Blackwood, NJ 08012-4432 |
| Second Address | West Long Branch, NJ 07764-1177 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2009 |
| Last Update Date | 31/08/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.