Individual
MARY ELIZABETH NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3375
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
4292
WV
208800000X
Urology Physician
Primary
OS024746
PA
Other
Enumeration date
03/27/2019
Last updated
01/26/2026
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