Provider Demographics
NPI:1982938668
Name:OWENS, PAUL LAWRENCE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LAWRENCE
Last Name:OWENS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 4147
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-9133
Mailing Address - Country:US
Mailing Address - Phone:917-324-9700
Mailing Address - Fax:
Practice Address - Street 1:9442 60TH AVE
Practice Address - Street 2:SUITE A-2
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5070
Practice Address - Country:US
Practice Address - Phone:917-324-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138840207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology