| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OLIVIA OWUSU-BOAHEN | 1427282631 | 2023-11-10 |
Olivia Owusu-boahen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427282631. Registration indicates Olivia Owusu-boahen is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics: Pediatric Emergency Medicine, ) (Specialist Network, ) (Pediatrics Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians) (Pediatrics, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics: Pediatric Emergency Medicine, ) (Specialist Network, ) (Pediatrics Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians) (Pediatrics, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Olivia Owusu-boahen MD |
| Other Provider Name | Olivia Adjekum |
| Practice Office Address | 1701 INNOVATION DR YORK, PA US |
| Practice Office Telephone | 7178495650 |
| Practice Office Fax | 7178495577 |
| Mailing Address | 1 PLAINSBORO RD PLAINSBORO, NJ 085361913 US |
| Business Telephone | 6098537000 |
| Business Fax | 6094974173 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1 Plainsboro Rd CHOP Care Network at Princeton Medical Center | Plainsboro, NJ 085361913 | 6098537000 / 6094974173 |
| 1800 E Park Ave | State College, PA 168036701 | 8142784818 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 208000000X | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 25MA08613500
NJ |
| 2080P0204X | Allopathic & Osteopathic Physicians Pediatrics Pediatrics: Pediatric Emergency Medicine Specialist Network Pediatrics Pediatric Emergency Medicine Allopathic & Osteopathic Physicians Pediatrics | MD453358
PA |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2080P0204X PRIMARY | Allopathic & Osteopathic Physicians Pediatrics Pediatrics: Pediatric Emergency Medicine Specialist Network Pediatrics Pediatric Emergency Medicine Allopathic & Osteopathic Physicians Pediatrics | 25MA08613500
NJ |
| 102375814 | MEDICAID | PA |