Individual
JONATHAN ANDREW NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8218
Mailing address
1230 YORK AVE # 130, NEW YORK, NY 10065-6307
(917) 696-9750
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
262037
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2010
Last updated
12/02/2015
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