# NOEL C NOWICKI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396832051
- **Authorized official:** NOEL C NOWICKI MD (OWNER)
- **Authorized official phone:** (973) 655-1005

## Contact information

- **Practice address:** 292 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3624
- **Practice address phone:** (973) 655-1005
- **Practice address fax:** (973) 655-0095
- **Mailing address:** 292 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3624
- **Mailing address phone:** (973) 655-1005
- **Mailing address fax:** (973) 655-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA034121 | NJ | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020