Individual
DR. HENRY NOVROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 LACKAWANNA AVE STE 200, SCRANTON, PA 18503-2001
(570) 800-7515
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS008340L
PA
207Q00000X
Family Medicine Physician
Primary
OS008340L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015508910007
—
PA
01
—
OS008340L
STATE LICENSE
PA
Enumeration date
02/17/2006
Last updated
10/11/2022
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