Provider Demographics
NPI:1427492479
Name:OWENS, BRITTANY ROSE (MD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ROSE
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ROSE
Other - Last Name:BARTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:535 S BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2807
Mailing Address - Country:US
Mailing Address - Phone:856-228-1061
Mailing Address - Fax:856-228-1907
Practice Address - Street 1:535 S BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-2807
Practice Address - Country:US
Practice Address - Phone:856-228-1061
Practice Address - Fax:856-228-1907
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457467208000000X
NJ25MA10063000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics