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Provider Information for 1902846678

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JUDITH A OWENS MD

Gender: FEMALE

Individual NPI: 1902846678

Calendar   Last Updated:  2008-02-01
  Certification Date: 

Details

Name Value
NPI 1902846678
Enumeration Date 2006-06-08
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 593 EDDY ST HASBRO 122
PROVIDENCE, RI 02903-4923
United States

Phone: 401-444-6484 | Fax: 401-444-6378
View Map External Link
Primary Practice Address 593 EDDY ST LOWER LEVEL
PROVIDENCE, RI 02903-4923
United States

Phone: 401-444-4691 | Fax: 401-444-7574
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID RI 7004267
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics RI MD06815