Provider Demographics
NPI:1346234168
Name:OVSIOWITZ, REBECCA SAMANTHA (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SAMANTHA
Last Name:OVSIOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1815 JOHN F KENNEDY BLVD
Mailing Address - Street 2:#2009
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1731
Mailing Address - Country:US
Mailing Address - Phone:215-523-9136
Mailing Address - Fax:
Practice Address - Street 1:333 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2272
Practice Address - Country:US
Practice Address - Phone:215-663-9688
Practice Address - Fax:215-663-9703
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD422550208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation