Organization
NOEL C NOWICKI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL C NOWICKI MD (OWNER)
(973) 655-1005
Entity
Organization
Contact information
Practice address
292 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3624
(973) 655-1005
(973) 655-0095
Mailing address
292 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3624
(973) 655-1005
(973) 655-0095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA034121
NJ
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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