Organization
JOEL NOVACK DPM, INC
Active
Parent organization
JOEL NOVACK DPM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOEL NOVACK DPM, INC.
Authorized official
DR. JOEL NOVACK DPM (PRESIDENT)
(216) 491-9151
Entity
Organization
Contact information
Practice address
20050 HARVARD RD, SUITE 205, WARRENSVILLE HEIGHTS, OH 44122-6816
(216) 491-9151
(216) 491-7243
Mailing address
PO BOX 391660, SOLON, OH 44139-8660
(216) 491-9151
(440) 491-7243
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229032
—
OH
Enumeration date
01/23/2007
Last updated
03/22/2016
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