Individual
PAUL C NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 NORTH BROADWAY, PHELPS MEMORIAL HOSPITAL, SLEEPY HOLLOW, NY 10591
(914) 366-1554
(610) 660-9384
Mailing address
PO BOX 13700-1365, C/O PHELPS MEMORIAL HOSPITAL EMERGENCY PHYSICIANS, PHILADELPHIA, PA 19191-1365
(800) 666-2455
(610) 660-9384
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
032915
CT
207P00000X
Emergency Medicine Physician
177633
NY
207R00000X
Internal Medicine Physician
032915
CT
207R00000X
Internal Medicine Physician
177633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6019427
MVP
CT
Enumeration date
06/22/2006
Last updated
07/25/2023
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