Individual
GERALD J NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1412 OAKBROOKE AVE, ALEXANDRIA, VA 22308-1704
(703) 765-9451
Mailing address
1412 OAKBROOKE AVE, ALEXANDRIA, VA 22308-1704
(703) 765-9451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102036835
VA
207Q00000X
Family Medicine Physician
5101012928
MI
207Q00000X
Family Medicine Physician
DO31529
DC
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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