Individual
JACOB NOWARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 HALKET ST STE 5600, PITTSBURGH, PA 15213-3108
(412) 641-2080
(412) 641-3640
Mailing address
300 HALKET ST STE 5600, PITTSBURGH, PA 15213-3108
(724) 369-3031
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA063233
PA
363AS0400X
Surgical Physician Assistant
OA005974
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16178070
CAQH
—
Enumeration date
01/28/2022
Last updated
08/06/2025
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