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Individual

MR. EDWARD MICHAEL NOWAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
190 RUSSELL STREET, HADLEY, MA 01035-9542
(413) 584-8976
(413) 584-7354
Mailing address
PO BOX 337, HADLEY, MA 01035-0337
(413) 584-8976
(413) 584-7354

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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