Individual
DR. JOANNE NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 MERRIMACK ST STE 9, LAWRENCE, MA 01843-1764
(978) 552-4080
Mailing address
360 MERRIMACK ST STE 9, LAWRENCE, MA 01843-1764
(978) 552-4080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54126
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064441
—
MA
01
—
715023
TUFTS HEALTH PLAN
MA
01
—
J04598
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
03/03/2015
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