Individual
OWEN KONZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6500
Mailing address
721 WINCHESTER RD, BROOMALL, PA 19008-3432
(610) 545-3722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00882200
NJ
Other
Enumeration date
08/23/2024
Last updated
10/22/2024
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