NPI 1013150267

Owano M Pennycooke, MD

Practitioner Vascular Surgery Physician Freehold, NJ

Practice location

Address: 901 W Main St STE 107, Freehold, NJ 07728-2537
Phone: (732) 677-1091
Fax: (732) 431-4640
Mailing address: PO Box 416457, Boston, MA 02241-6457

Registered specialties (3)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence MD492025C (PA)

Other Surgery providers in New Jersey →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 25MA08547000 (NJ)

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 25MA08547000 (NJ)

Registry record

NPI: 1013150267
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2009
Record last updated: 2 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.