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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 Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OWANO M PENNYCOOKE · (Male)

NPI # 1013150267
Status Active
Credentials MD
Entity Individual
Enumeration date 04/16/2009
Last updated 03/02/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08547000
  • PA License # MD492025C
Hospital affiliation(s)
  • BAYSHORE COMMUNITY HOSPITAL - (Acute Care)
    727 N BEERS ST
    HOLMDEL, NJ 07733
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
  • RARITAN BAY MEDICAL CENTER - (Acute Care)
    530 NEW BRUNSWICK AVE
    PERTH AMBOY, NJ 08861
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
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.

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