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Individual
MR. EDWARD MICHAEL NOWAK
Active
Individual
MR. EDWARD MICHAEL NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004361700
AETNA
—
05
—
1604678
—
MA
01
—
351055
HARVARD PILGRIM
MA
01
—
798574
TUFTS
—
01
—
P00172510
RAILROAD MEDICARE
—
01
—
Y35048
BLUE SHIELD OF MA
—
Enumeration date
12/27/2005
Last updated
07/06/2012
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