Provider Demographics
NPI:1568468494
Name:BARRUW, OWEN A (MD)
Entity Type:Individual
Prefix:
First Name:OWEN
Middle Name:A
Last Name:BARRUW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.
Mailing Address - Street 2:9910 SANDALFOOT BLVD., SUITE 1
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6692
Mailing Address - Country:US
Mailing Address - Phone:561-883-3030
Mailing Address - Fax:561-852-7611
Practice Address - Street 1:ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON, P.L.
Practice Address - Street 2:9910 SANDALFOOT BLVD., SUITE 1
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6692
Practice Address - Country:US
Practice Address - Phone:561-883-3030
Practice Address - Fax:561-852-7611
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55075207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL09434YMedicare PIN
G27198Medicare UPIN