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NPI Code Detail

MEDICARE: JOHANNA OWINGS D.O.

MEDICARE: JOHANNA OWINGS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOT012473PA
2207Q00000XFamily Medicine PhysicianOS015045PA

General Provider Information

NPI Number : 1437312592
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA OWINGS D.O.
Provider Business Mailing Address
First Line : 1412 FAIRMOUNT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-2908
Country : US
Telephone Number : 215-235-9600
Fax Number : 215-232-4093
Provider Business Practice Location Address
First Line : 1401 DEKALB ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19401-3405
Country : US
Telephone Number : 610-278-7787
Fax Number : 610-278-7386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 11/18/2024

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Directions to “ JOHANNA OWINGS D.O.” Practice Location

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