Individual
DR. DENNIS EARL NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 LACEY ROAD, FORKED RIVER, NJ 08731-0780
(609) 693-8900
(609) 971-2888
Mailing address
1001 LACEY ROAD, FORKED RIVER, NJ 08731-0780
(609) 693-8900
(609) 971-2888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA03039400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699209
—
NJ
01
—
25MA03039400
LICENSE #
NJ
01
—
D01825500
CDS #
NJ
Enumeration date
12/28/2006
Last updated
03/07/2023
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