Individual provider · Type 1 NPI
Owano M. Pennycooke, MD
Vascular Surgery Physician · Freehold, NJ
NPI number
1013150267
Active
Practice location
901 W Main St Ste 107
Freehold, NJ 07728-2537
Fax (732) 431-4640
Mailing address
PO Box 416457
Boston, MA 02241-6457
Other practice locations
- 46 Newman Springs Rd E Ste D, Red Bank, NJ 07701-1531 · (732) 677-1091
- 179 N Reading Rd, Ephrata, PA 17522-1647 · (717) 738-0167
- 252 S 4th St Fl 2, Lebanon, PA 17042-6111 · (717) 270-3751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | MD492025C (PA) |
| Surgery Physician | 208600000X | 25MA08547000 (NJ) |
| Vascular Surgery Physician | 2086S0129X | 25MA08547000 (NJ) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
Other vascular surgery physician providers in Freehold
About NPI 1013150267
Owano M. Pennycooke, MD's National Provider Identifier is 1013150267, issued on Apr 16, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Freehold, NJ. The record was last updated on Mar 2, 2026.