Individual
DR. OWANO M PENNYCOOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W MAIN ST STE 107, FREEHOLD, NJ 07728-2537
(732) 677-1091
(732) 431-4640
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08547000
NJ
2086S0129X
Vascular Surgery Physician
25MA08547000
NJ
2086S0129X
Vascular Surgery Physician
Primary
MD492025C
PA
Other
Enumeration date
04/16/2009
Last updated
03/02/2026
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