Provider Demographics
NPI:1356736078
Name:OWEN, DEBORAH DAPHNE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:DAPHNE
Last Name:OWEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE, GROUND FLOOR RAVDIN
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4238
Mailing Address - Country:US
Mailing Address - Phone:215-662-6698
Mailing Address - Fax:215-662-3953
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE, GROUND FLOOR RAVDIN
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4238
Practice Address - Country:US
Practice Address - Phone:215-662-6698
Practice Address - Fax:215-662-3953
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2019-05-15
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Provider Licenses
StateLicense IDTaxonomies
PAMD461876207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine