Individual
ROBERT P NOVICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
32 CHERRY ST, MILFORD, CT 06460-3413
(203) 874-6755
Mailing address
32 CHERRY ST, MILFORD, CT 06460-3413
(203) 874-6755
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000408
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
000408
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706090003
MEDICARE DMERC
CT
Enumeration date
06/28/2006
Last updated
02/06/2008
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