Individual
MARY T NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1005 NORTH WASHINGTON AVE, GREENBROOK, NJ 08812
(732) 968-8900
(732) 968-4609
Mailing address
1005 NORTH WASHINGTON AVE, GREENBROOK, NJ 08812
(732) 968-8900
(732) 968-4609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00024600
NJ
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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