National Provider Identifier Database

OWANO M PENNYCOOKE, MD – NPI #1013150267
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

OWANO M PENNYCOOKE, MD
901 W MAIN ST STE 107
FREEHOLD TOWNSHIP, NJ07728-2537
Phone: 732-677-1091
Fax: 732-431-4640
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for OWANO M PENNYCOOKE

NPI Number 1013150267
Credentials MD
Entity Individual
Enumeration date 04/16/2009
Last updated 03/02/2026 - About 3 months ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA08547000
  • PA License #: MD492025C
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for OWANO M PENNYCOOKE, MD

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