MEDICARE: DR. THOMAS EDWARD OWENS DSW

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
1	104100000X	Social Worker	SW131308	PA

General Provider Information

NPI Number	:	1518606102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EDWARD OWENS DSW

Provider Business Mailing Address
First Line	:	7600 STENTON AVE STE 1E
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-3260
Country	:	US
Telephone Number	:	215-248-1970
Fax Number	:	215-248-2975

Provider Business Practice Location Address
First Line	:	7600 STENTON AVE STE 1E
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-3260
Country	:	US
Telephone Number	:	215-215-1970
Fax Number	:	215-248-2975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	06/01/2022

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