Organization
GLENN J. NOVAK D O INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN JOSEPH NOVAK D.O. (PHYSICIAN)
(330) 799-1718
Entity
Organization
Contact information
Practice address
51 WESTCHESTER DR, YOUNGSTOWN, OH 44515-3902
(330) 799-1718
(330) 799-8328
Mailing address
51 WESTCHESTER DR, YOUNGSTOWN, OH 44515-3902
(330) 799-1718
(330) 799-8328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766434
—
OH
Enumeration date
05/18/2010
Last updated
05/24/2010
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