Individual
DR. IRA JAY NOVSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
251 MAIN ST, WESTPORT, CT 06880-2401
(203) 227-3421
(203) 226-9817
Mailing address
251 MAIN ST, WESTPORT, CT 06880-2401
(203) 227-3421
(203) 226-9817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004541
CT
Other
Enumeration date
06/24/2007
Last updated
07/08/2007
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