Individual
DR. LARRY E. NOVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 REEF RD, SUITE 203, FAIRFIELD, CT 06824-6537
(203) 255-0215
(203) 255-0046
Mailing address
325 REEF RD, SUITE 203, FAIRFIELD, CT 06824-6537
(203) 255-0215
(203) 255-0046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024390
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243906
—
CT
Enumeration date
03/23/2006
Last updated
05/31/2013
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