Individual
DR. ALYSON N. OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, MEZZANINE FLOOR, PHILADELPHIA, PA 19107-4216
(215) 955-5050
(215) 955-7499
Mailing address
925 CHESTNUT ST, MEZZANINE, PHILADELPHIA, PA 19107-4216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-031183-E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD-031183-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001444182
—
PA
05
—
6040209
—
NJ
Enumeration date
07/26/2006
Last updated
12/09/2014
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