Individual
JOHN S OWENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 W RED BANK AVE, SUITE 306, WOODBURY, NJ 08096-1630
(856) 845-6807
(856) 845-3760
Mailing address
17 W RED BANK AVE, SUITE 306, WOODBURY, NJ 08096-1630
(856) 845-6807
(856) 845-3760
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA28117
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080962000
AMERIHEALTH
NJ
01
—
0080962000
PENNSYLVANIA BLUE SHIELD
PA
01
—
118024
AMERIHEALTH ADMINISTRATOR
NJ
05
—
1684507
—
NJ
01
—
33422
AETNA HMO
NJ
01
—
P499317
OXFORD
NJ
Enumeration date
06/05/2006
Last updated
07/09/2007
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